Reversible visual loss in a patient with rheumatoid arthritis and the role of vascular imaging.
Spontaneous vertebral artery dissection is a condition that can have lethal consequences. The condition should be considered in young male patients who present with a stroke. At presentation, headaches, cerebral ischaemic episodes and oculosympathetic paresis are the most commonly encountered manifestations. The diagnosis is confirmed with angiography. Here, we present a middle-aged male gardener with rheumatoid arthritis and signs of vertebral artery dissection to highlight the importance of diagnosis and discuss the controversies in management.
Kyprianou
Ioannis G
IG
Birmingham and Midland Eye Centre, Birmingham, UK.
Nessim
Maged
M
Elsherbiny
Samer
S
D001172:Arthritis, Rheumatoid / Q000453:epidemiology*; D015897:Comorbidity; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D020217:Vertebral Artery Dissection / Q000175:diagnosis / Q000453:epidemiology*; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity