کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4032816 | 1603037 | 2010 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Combined Optic Neuropathy and Myelopathy Secondary to Copper Deficiency Combined Optic Neuropathy and Myelopathy Secondary to Copper Deficiency](/preview/png/4032816.png)
We report two patients, both with a history of gastric surgery, who presented with progressive optic neuropathy and myelopathy. The patients' symptoms were initially attributed to vitamin B12 deficiency and/or neuromyelitis optica; however, after the neurologic deficits continued to progress with the use of conventional treatments, further evaluation was initiated, and a severe copper deficiency was revealed. Copper deficiency is a rare cause of progressive optic neuropathy and myelopathy and should be considered in the differential diagnosis. It is crucial to elicit a history of gastric surgery or other risk factors for hypocupremia in those patients undergoing an evaluation for subacute or chronically progressive optic neuropathy or myelopathy.
Journal: Survey of Ophthalmology - Volume 55, Issue 4, July–August 2010, Pages 386–392