• BMJ case reports · Dec 2015

    Case Reports

    Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis.

    • Alejandro Viloria, Beatriz Jimenez, and Marta Palacín.
    • Department of Neurology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
    • BMJ Case Rep. 2015 Dec 30; 2015.

    AbstractA 40-year-old man was diagnosed with pancreatitis following cholecystectomy. During hospitalisation, he reported bilateral acute vision loss. His best-corrected visual acuity (BCVA) was counting fingers in the right eye and 20/200 in the left eye. Ocular fundus examination and optical coherence tomography revealed a slight alteration in the retinal nerve fibres in the nasal macular region. Automated perimetry revealed bilateral visual field defects affecting both temporal and nasal hemifields in a predominantly nasal distribution, and brain MRI confirmed symmetrical lesions within both lateral geniculate nuclei. BCVA was gradually recovered, reaching 20/20 within 6 weeks. 2015 BMJ Publishing Group Ltd.

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