title: Bilateral lateral geniculitis associated with severe diarrhea.
abstract: OBJECTIVE
  We examined a 28-year-old woman who developed incongruous binasal and bitemporal visual field defects one week after having a febrile gastroenteritis characterized by severe diarrhea while traveling in Mexico.
  
  
  METHODS
  The patient was treated with intravenous methylprednisolone sodium succinate, 1 g daily for three days, followed by an eight-week course of oral prednisone.
  
  
  RESULTS
  Neuroradiologic examination demonstrated bilaterally increased signal intensity within the lateral geniculate bodies. Cerebrospinal fluid analysis disclosed isolated protein increase.
  
  
  CONCLUSIONS
  Severe diarrhea may be associated with an aseptic bilateral lateral geniculitis resulting in hourglass-shaped visual fields. Corticosteroid therapy may provide mild improvement.
authors.affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine.
authors.forename: D S
authors.initials: DS
authors.lastname: Greenfield
authors.forename: R M
authors.initials: RM
authors.lastname: Siatkowski
authors.forename: N J
authors.initials: NJ
authors.lastname: Schatz
authors.forename: J S
authors.initials: JS
authors.lastname: Glaser
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003967:Diarrhea / Q000150:complications*; D004660:Encephalitis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005334:Fever; D005829:Geniculate Bodies / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008776:Methylprednisolone Hemisuccinate / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D014195:Travel; D014786:Vision Disorders / Q000209:etiology; D014794:Visual Fields
chemical_list: D000893:Anti-Inflammatory Agents; D008776:Methylprednisolone Hemisuccinate; D011239:Prednisolone