[Acute ischemia of the optic nerve (with a color plate)].
Casuistic report of a severe bilateral ischaemia of the optic nerve (vascular optic atrophy, right eye; ischaemic oedema of the disc, left eye) of a 63-year-old woman, suffering from ulcera cruris. Tumor cerebri (for example, a classical Foster Kennedy syndrome) had to be excluded because the result of a computer tomography of the brain was 'Questionable pathologic process in the frontal lobe'. The following neurologic and neuroradiologic investigations were negative. Patient's age, extreme rise of erythrocyte sedimentation rate, dysproteinaemia, raised serum alkaline phosphatase level and aspect of the disease justified the diagnosis 'giant-cell arteritis', notwithstanding the negative histopathologic result of a biopsy of the temporal artery and regular ophthalmodynamography. Therapy was internal application of prednisolone, Cosaldon retard (later Card-Cosaldon). There was a rise of vision of the left eye to 0.4.
D000208:Acute Disease; D005260:Female; D006801:Humans; D007511:Ischemia / Q000188:drug therapy; D008875:Middle Aged; D009539:Nicotinic Acids / Q000627:therapeutic use; D009900:Optic Nerve / Q000098:blood supply*; D009901:Optic Nerve Diseases / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D013805:Theobromine / Q000031:analogs & derivatives / Q000627:therapeutic use
D009539:Nicotinic Acids; D011239:Prednisolone; D013805:Theobromine
Akute Ischämie des Nervus opticus (Mit 1 Farbtafel).