title: Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis.
abstract: A 40-year-old man was diagnosed with pancreatitis following cholecystectomy. During hospitalisation, he reported bilateral acute vision loss. His best-corrected visual acuity (BCVA) was counting fingers in the right eye and 20/200 in the left eye. Ocular fundus examination and optical coherence tomography revealed a slight alteration in the retinal nerve fibres in the nasal macular region. Automated perimetry revealed bilateral visual field defects affecting both temporal and nasal hemifields in a predominantly nasal distribution, and brain MRI confirmed symmetrical lesions within both lateral geniculate nuclei. BCVA was gradually recovered, reaching 20/20 within 6 weeks.
authors.affiliation: Department of Neurology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Viloria
authors.affiliation: Department of Ophthalmology, Hospital Ernest Lluch, Calatayud, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Jimenez
authors.affiliation: Department of Neurology, Hospital Ernest Lluch, Calatayud, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Palacín
mesh_terms: D000208:Acute Disease; D000328:Adult; D005829:Geniculate Bodies; D006801:Humans; D017705:Lignans; D008297:Male; D017590:Myelinolysis, Central Pontine / Q000150:complications* / Q000175:diagnosis; D010195:Pancreatitis / Q000150:complications*; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity
chemical_list: D017705:Lignans; C587664:magnaldehyde B