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NICULA C, SUCIU C, BULBOACĂ AE. Pseudotumor cerebri-Case report. BALNEO RESEARCH JOURNAL 2020. [DOI: 10.12680/balneo.2020.315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
An 46-year-old Caucasian woman was diagnosed with idiopathic intracranial hypertension (IIH) after presenting with papilledema and bilateral visual blurring. Lumbar puncture revealed an opening pressure of more than 550 mmH2O. Cerebral magnetic resonance imaging (MRI) showed bilateral flattening of the posterior sclera, enhancement of the prelaminar optic nerve, distension of the perioptic subarachnoid space, intraocular protrusion of the prelaminar optic nerve and empty sella. The main purpose of the treatment was to release the symptoms and preserve the vision. It was initiated the general treatment with Mannitol 20%, 250 ml/day, Acetazolamide 2x500 mg/day and B-vitamins. After discharge the patient followed a treatment with acetazolamide 2x250 mg/ daily doses and oral potassium supplements 30 mg bid/day.
Key words: pseudotumor cerebri, idiopatic intracranial hypertension, papilledema,
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Affiliation(s)
- Cristina NICULA
- University of Medicine and Pharmacy “Iuliu Hațieganu”, Faculty of Medicine, Department of Ophthalmology, Cluj-Napoca, Romania 2. Emergency County Eye Hospital, Cluj-Napoca, Romania
| | - Corina SUCIU
- 2. Emergency County Eye Hospital, Cluj-Napoca, Romania
| | - Adriana Elena BULBOACĂ
- 3. University of Medicine and Pharmacy “Iuliu Hațieganu”, Faculty of Medicine, Department of Pathophysiology, Cluj-Napoca, Romania
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NICULA C, NICULA D, BULBOACĂ AE. Non-surgical correction of diplopia after stroke- a strong impact factor on quality of life-minireview. BALNEO RESEARCH JOURNAL 2019. [DOI: 10.12680/balneo.2019.286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
One of the most frequent disorders accompanied by diplopia is represented by stroke. Beyond different symptoms of stroke, diplopia constitutes an important clinical factor in influencing the quality of life in surviving patients. In this paper we discuss the visual impairment associated with stroke location, types of diplopia, the clinical examination, and the nonsurgical treatment of diplopia. The purpose of diplopia treatment is to restore binocular vision and eliminate the double vision. The most used nonsurgical treatment for diplopia is the optical correction by the prisms. Another therapeutic option is the botulinum toxin injections.
Key words: diplopia, stroke, visual rehabilitation, prism correction,
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Affiliation(s)
- Cristina NICULA
- Department of Ophthalmology, “Iuliu Hatieganu”University of Medicine and Pharmacy”, Cluj- Napoca, Romania, Oculens Clinic, Cluj-Napoca, Romania
| | | | - Adriana Elena BULBOACĂ
- Department of Pathophysiology, “Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj- Napoca, Romania
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