Bilateral lateral geniculitis associated with severe diarrhea.
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.
Greenfield
D S
DS
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine.
Siatkowski
R M
RM
Schatz
N J
NJ
Glaser
J S
JS
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
D000893:Anti-Inflammatory Agents; D008776:Methylprednisolone Hemisuccinate; D011239:Prednisolone