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A case report of isolated orbital vasculitis mimicking retinal migraine: A potential cause of recurrent transient monocular blindness and ipsilateral headache

Authors
 Ji-Hyung Park  ;  Kyung-Ah Park  ;  Jihoon Cha  ;  Sung Tae Kim  ;  Chin-Sang Chung  ;  Mi Ji Lee 
Citation
 CEPHALALGIA, Vol.39(6) : 792-798, 2019 
Journal Title
CEPHALALGIA
ISSN
 0333-1024 
Issue Date
2019
Keywords
High-resolution magnetic resonance image ; branch retinal arterial occlusion ; central retinal artery ; fluorescein angiography
Abstract
BACKGROUND: Retinal migraine is an important differential diagnosis of recurrent transient monocular blindness accompanied by headache when other etiologies are excluded. Here, we report a case of orbital vasculitis which initially mimicked retinal migraine.

CASE REPORT: A 47-year-old woman had recurrent episodes of fully reversible transient monocular blindness accompanied by ipsilateral headache for 15 months. The patient's neuroimaging and cardiac and ophthalmologic evaluations were normal. With a diagnosis of retinal migraine, her symptoms remitted in response to prophylactic treatment with topiramate and propranolol for 8 months. Three months after discontinuation of medications, transient monocular blindness recurred. High-resolution vessel wall magnetic resonance imaging revealed enhancement of the ipsilateral orbital vessels. Isolated orbital vasculitis was diagnosed. Complete remission of transient monocular blindness was achieved after steroid pulse therapy.

DISCUSSION: Isolated orbital vasculitis should be considered in differential diagnosis of recurrent transient monocular blindness and ipsilateral headache. High-resolution vessel wall magnetic resonance imaging can be helpful for the diagnosis.
Full Text
https://journals.sagepub.com/doi/full/10.1177/0333102418794482
DOI
10.1177/0333102418794482
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Cha, Jihoon(차지훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173370
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