title: Central retinal vein occlusion in a migraine patient.
abstract: We describe a 31-year-old woman with a history of migraines without aura, who presented to our emergency department due to a monocular visual disturbance. This was misdiagnosed as being related to her migraine, however, it was subsequently found to be caused by a central retinal vein occlusion. Patients suffering from migraine can experience visual disturbances in the form of auras. The neuropathological basis for this phenomenon is thought to be a spreading depression in the visual cortex, causing a hemifield active visual phenomenon. Missing the diagnosis of central retinal vein occlusion is common, especially in the setting of an initially normal fundoscopy examination.
authors.affiliation: Department of Neurology, Rabin Medical Center, Campus Beilinson, Jabotinsky 39, Petach Tikva 49000, Israel. Electronic address: felixbenninger@gmail.com.
authors.forename: Felix
authors.initials: F
authors.lastname: Benninger
authors.affiliation: Department of Opthalmology, Rabin Medical Center, Campus Beilinson, Petach Tikva, Israel.
authors.forename: Tal
authors.initials: T
authors.lastname: Saban
authors.affiliation: Department of Neurology, Rabin Medical Center, Campus Beilinson, Jabotinsky 39, Petach Tikva 49000, Israel.
authors.forename: Israel
authors.initials: I
authors.lastname: Steiner
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008881:Migraine Disorders / Q000150:complications*; D012170:Retinal Vein Occlusion / Q000150:complications*; D014786:Vision Disorders / Q000209:etiology
keywords: Aura; Central retinal vein occlusion; Migraine; Misdiagnosis