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• Vol.63 No.12
• CLINICA NEUROL, 63: 824−829, 2023
• Vol.63 No.12 contents

Case Report

A case of acute bilateral blindness presumably caused by reversible cerebral vasoconstriction syndrome after traumatic brain injury

Yuki Fujii, M.D.^1）, Keiichi Hokkoku, M.D.^1）, Takashi Chiba, M.D.^1）, Kazusa Takahashi, M.D.^1）4）, Tatsuya Mimura, M.D.^2）, Hiroshi Ooba, M.D.^3）, Masahiro Sonoo, M.D.^1）5） and Shunsuke Kobayashi, M.D.^1）

¹⁾ Department of Neurology, Teikyo University School of Medicine
²⁾ Department of Ophthalmology, Teikyo University School of Medicine
³⁾ Department of Radiology, Teikyo University School of Medicine
⁴⁾ Department of Neurology, Kitasato University School of Medicine
⁵⁾ Department of Orthoptics, Faculty of Medical Technology, Teikyo University

A 62-year-old man was admitted to our hospital for acute bilateral blindness two days after a head injury. Hemorrhagic cerebellar infarction was found on the initial MRI, and peripheral arteries were poorly visualized on MRA. On the follow-up MRA nine days later, peripheral arteries were clearly depicted. These imaging findings suggested reversible cerebral vasoconstriction syndrome (RCVS). We started steroid pulse therapy for suspected optic neuritis with no clear response. The initial fundoscopic examination revealed no abnormalities in the optic disc, but optic nerve atrophy developed one month later. Based on the course of events, we diagnosed the patient with posterior ischemic optic neuropathy triggered by RCVS.
Full Text of this Article in Japanese PDF (3933K)

(CLINICA NEUROL, 63: 824−829, 2023)
key words: acute bilateral blindness, reversible cerebral vasoconstriction syndrome, ischemic optic neuropathy

(Received: 22-May-23)