Klinische Monatsblätter für Augenheilkunde
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Klin Monbl Augenheilkd · Dec 2005
Case Reports[Bilateral lid swelling during infectious mononucleosis (Hoagland-sign)].
Infectious mononucleosis ("kissing disease") is an infection caused by Epstein-Barr-Virus (EBV, human herpes virus 4). ⋯ A dacryoadenitis can be the presenting symptom of an infectious mononucleosis.
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Idiopathic hypertrophic cranial pachymeningitis (IHCP) is a chronic inflammatory disease of unknown origin that is morphologically characterized by a local fibrotic thickening of the dura mater with a sterile lymphocytic infiltrate. Patients usually present with chronic headache, ataxia and cranial nerve palsies. Because of the great diversity of symptoms and the fact that IHCP can be associated with many other disorders, there is often a long time between the occurrence of clinical features and making the diagnosis. During this time symptoms can further increase. In addition, this is the third case report describing bone involvement in this disorder. ⋯ Chronic headache, ataxia and cranial nerve palsies in combination with inflammation and dural thickening should call to mind idiopathic hypertrophic cranial pachymeningitis. In principle, every ophthalmological or neurological symptom can be associated with IHCP.
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Klin Monbl Augenheilkd · Mar 2005
Case Reports[Arnold-Chiari I malformation: three unusual manifestations].
Arnold-Chiari Syndrome I is a malformation of the cervicomedullary junction, manifesting usually with downbeat nystagmus, palsy of the caudal cerebral nerves, headache, and vertigo. ⋯ Arnold-Chiari malformation may manifest atypically. An important step in the work-up of these patients is to ask the neuroradiologist to include the cervicomedullary junction in his evaluation.
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Klin Monbl Augenheilkd · Mar 2005
Bilateral peripapillary subretinal neovessel membrane associated with chronic papilledema: report of two cases.
Increased intracranial pressure (ICP) usually results in headaches and papilledema with infrequent loss of visual acuity. Peripapillary subretinal neovessel membranes (PSNVM) rarely complicate chronic papilledema. ⋯ PSNVMs are rare complications of chronic papilledema, as only 10 patients have been reported so far in the literature. Absence of headaches in both of our patients was probably responsible for the late diagnosis, hence chronicity of papilledema. Laser therapy of PSNVM might not be necessary once the ICP is lowered.
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Klin Monbl Augenheilkd · Feb 2005
Comparative Study Clinical Trial Controlled Clinical Trial[Intraocular pressure difference in Goldmann applanation tonometry versus a transpalpebral tonometer TGDc-01"PRA" in glaucoma patients].
The object of this study was to compare intraocular pressure measurements obtained with the TGDc-01"PRA", a new, transpalpebral indentation tonometer, with those from Goldmann applanation tonometry in normal and glaucomatous eyes. ⋯ In eyes with elevated intraocular pressure, the TGDc-01"PRA" significantly underestimated the intraocular pressure measurement when compared to the gold standard, Goldmann tonometry. At present, measurement of the intraocular pressure with the TGDc-01 should not be used for clinical management of patients with glaucoma.