کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2700586 1144348 2016 3 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Neoplastic leptomeningeal disease masquerading as central serous retinopathy. A case report
ترجمه فارسی عنوان
تغییر ظاهر بیماری leptomeningeal نئوپلاستیک به عنوان رتینوپاتی سروز مرکزی. گزارش یک مورد
کلمات کلیدی
بیماری leptomeningeal نئوپلاستیک؛ میگرن؛ کوروئیدی massBCVA، اصلاح حدت بینایی؛ CSF، مایع مغزی نخاعی؛ CSR، رتینوپاتی سروز مرکزی؛ CT، توموگرافی کامپیوتری؛ MRI، تصویربرداری رزونانس مغناطیسی؛ NLMD، بیماری leptomeningeal نئوپلاستیک؛ OC
Neoplastic leptomeningeal disease; Migraine; Choroidal massBCVA, best corrected visual acuity; CSF, cerebrospinal fluid; CSR, central serous retinopathy; CT, computed tomography; MRI, magnetic resonance imaging; NLMD, neoplastic leptomeningeal disease; OC
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی چشم پزشکی
چکیده انگلیسی

A 69-year-old man became aware of people’s speech being out of synch with their lip movements alongside persistent headaches, both of which progressively worsened. A few weeks later, he developed progressive and painless visual loss in one eye. Initial neurological evaluation, inflammatory markers and head computed tomography scan were normal. Ophthalmological examination and OCT scan revealed right macular subretinal fluid with choroidal indentation, which prompted urgent further investigations including head MRI revealing extensive leptomeningeal disease. The patient continued to deteriorate and deceased shortly afterwards.This is the first reported case of neoplastic leptomeningeal disease presenting with loss of vision due to choroidal metastasis with localised exudative retinal detachment. Diagnosing neoplastic leptomeningeal disease requires a high index of suspicion from the treating physician. Symptoms may be nonspecific and/or subtle. Combining cerebrospinal fluid cytology from lumbar puncture with contrast-enhanced magnetic resonance imaging of the brain is considered the optimal diagnostic approach.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Saudi Journal of Ophthalmology - Volume 30, Issue 3, July–September 2016, Pages 204–206
نویسندگان
, , , ,