Visual disturbances and transurethral resection of the prostate: the TURP syndrome.
A 73-year-old man with a history of a cerebral and a cardiac vascular disease and atrial flutter developed visual disturbances characterized by vision being dark in both eyes and by seeing as through a color photographic negative immediately after an uncomplicated transurethral resection of the prostate (TURP) for prostatic hyperplasia under spinal anesthesia. There was complete remission of the symptomatology after 2.5 h. A cerebrovascular workup was negative. Considering postoperative hyponatremia and hypoosmality, we discuss the possible role of glycine-induced visual disturbances as described in the TURP reaction syndrome, to our knowledge an entity almost unknown in the neurologic literature. Glycine-induced visual disturbances should therefore be considered in the differential diagnosis of bilateral transient visual loss.
Radziwill
A J
AJ
Service de Neurologie, Centre Hospitalier Universitaire Vaudois, Lausanne, Suisse.
Vuadens
P
P
Borruat
F X
FX
Bogousslavsky
J
J
D000368:Aged; D005998:Glycine / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects*; D012075:Remission, Spontaneous; D013577:Syndrome; D007507:Therapeutic Irrigation / Q000009:adverse effects; D014786:Vision Disorders / Q000139:chemically induced* / Q000175:diagnosis; D014869:Water Intoxication / Q000150:complications
D005998:Glycine