A rare potentially treatable cause of bilateral optic disc swelling.
BMJ Case Rep 2010;
2010:2010/oct12_2/bcr0320102835. [PMID:
22789833 DOI:
10.1136/bcr.03.2010.2835]
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Abstract
Rapid onset bilateral optic disc swelling generally indicates an intracranial problem-that is, papilloedema. However, when there is also visual loss, disease affecting the optic nerves themselves must be considered. We present the diagnostic problem of a patient with optic disc swelling and progressive visual loss. Investigations finally revealed hypocalcaemia secondary to primary hypoparathyroidism. With treatment a marked improvement in vision occurred. This reversible rare cause of optic disc swelling should not be forgotten.
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