The case of posterior ischemic optic neuropathy in patient with multiple sclerosis

2021 ◽  
pp. 107-110
Author(s):  
T.N. Kiseleva ◽  
◽  
E.K. Eliseeva ◽  
M.N. Zakharova ◽  
◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Blood Flow ◽  
Optic Neuropathy ◽  
Internal Carotid ◽  
Duplex Sonography ◽  
Ischemic Optic Neuropathy ◽  
Color Duplex Sonography ◽  
Retrobulbar Neuritis ◽  
Posterior Ischemic Optic Neuropathy ◽  
Brachiocephalic Arteries

A case of posterior ischemic optic neuropathy (PION) in a 41-year-woman with 19 years remission of multiple sclerosisis presented.She had complaints of acute unilateral loss of vision and underwent complex clinical and instrumental examination including B-scan of orbit, color duplex sonography (CDS) of orbital vessels and brachiocephalic arteries, magnetic resonance imaging (MRI). The significant stenosis of internal carotid artery due to its dissection was detected on the affected eye side. The results of ultrasound examinations and MRI excluded demyelinative retrobulbar neuritis (RBN) and determined the signs of blood flow impairment in vessels of orbital part of the optic nerve. Differential diagnostics of PION and RBN required the investigations of blood flow in orbital vessels and brachiocephalic arteries. Key words: posterior ischemic optic neuropathy, multiple sclerosis, retrobulbar neuritis, color duplex sonography, internal carotid artery.

Posterior Ischemic Optic Neuropathy Related to Profound Shock After Penetrating Thoracoabdominal Trauma

2002 ◽  
Vol 95 (9) ◽  
pp. 1053-1057 ◽  
Author(s):  
JUAN A. ASENSIO ◽  
WALTER FORNO ◽  
GUSTAVO A. ROLDÁN CASTILLO ◽  
ESTEBAN GAMBARO ◽  
PATRIZIO PETRONE
Keyword(s):  
Optic Neuropathy ◽  
Ischemic Optic Neuropathy ◽  
Posterior Ischemic Optic Neuropathy

scholarly journals Acute Effect of Hypervolemic Hemodilution on Retrobulbar Hemodynamics in Anterior Ischemic Optic Neuropathy

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Marion Bienert ◽  
Niklas Plange ◽  
Andreas Remky ◽  
Kay Oliver Arend ◽  
David Kuerten
Keyword(s):  
Blood Flow ◽  
Hydroxyethyl Starch ◽  
Optic Neuropathy ◽  
Acute Effect ◽  
Anterior Ischemic Optic Neuropathy ◽  
Ischemic Optic Neuropathy ◽  
Hypervolemic Hemodilution ◽  
Blood Flow Velocities ◽  
Retrobulbar Hemodynamics ◽  
Flow Velocities

Purpose.Ischemic ocular disorders may be treated by hypervolemic hemodilution. The presumed therapeutic benefit is based on a volume effect and improved rheological factors. The aim was to investigate the acute effect of intravenous hydroxyethyl starch on retrobulbar hemodynamics in patients with nonarteritic anterior ischemic optic neuropathy (NAION).Methods.24 patients with acute NAION were included. Retrobulbar hemodynamics were measured using color Doppler imaging before and 15 min after intravenous infusion of 250 cc 10% hydroxyethyl starch (HES). Peak systolic velocity (PSV), end diastolic velocity (EDV), and Pourcelot’s resistive index (RI) were measured in the ophthalmic artery (OA), central retinal artery (CRA), and short posterior ciliary arteries (PCAs).Results.After infusion of HES blood flow velocities significantly increased in the CRA (PSV from7.53±2.33to8.32±2.51  (p<0.001); EDV from2.16±0.56to2.34±0.55  (p<0.05)) and in the PCAs (PSV from7.18±1.62to7.56±1.55  (p<0.01); EDV from2.48±0.55to2.66±0.6 cm/sec (p<0.01)). The RI of all retrobulbar vessels remained unaffected. Blood pressure and heart rate remained unchanged.Conclusions.Hypervolemic hemodilution has an acute effect on blood flow velocities in the CRA and PCAs in NAION patients. Increased blood flow in the arteries supplying the optic nerve head may lead to a better perfusion in NAION patients. This trial is registered withDRKS00012603.

Cerebral Blood Flow Volume in Posterior Circulation Ischemic Disorders

2021 ◽  
pp. 154431672110539
Author(s):  
Anastasiya Yu. Vishnyakova ◽  
Nataliya M. Medvedeva ◽  
Alexander B. Berdalin ◽  
Svetlana E. Lelyuk ◽  
Vladimir G. Lelyuk
Keyword(s):  
Blood Flow ◽  
Healthy Volunteers ◽  
Internal Carotid ◽  
Duplex Sonography ◽  
Posterior Circulation ◽  
Control Group ◽  
Vertebrobasilar Insufficiency ◽  
Flow Volume ◽  
Blood Flow Volume ◽  
Vertebral Arteries

Objective: The aim of this study was to determine blood flow volume (BFV) in the normal state and its features in patients with acute posterior circulation ischemic strokes (PCIS) and vertebrobasilar insufficiency (VBI) using color duplex sonography (DS).Methods: The study included DS data from 96 patients with verified PCIS (66 men and 30 women, aged 64±13 years) and 29 adults with VBI (17 men and 12 women, aged 66±11 years). The control group consisted of 65 healthy male volunteers of different ages.Results: In asymptomatic healthy volunteers, there was a significant decrease in BFV in the internal carotid artery (ICA) with age (502 ml/min in young people, 465 ml/min in the older subgroup) with rS = −0.24 ( p = 0.05), and the aggregated BFV in the vertebral arteries (VAs) turned out to be almost constant (141–143 ml/min). In patients with VBI, the aggregated BFV in the VAs (144 ml/min) did not differ from that in healthy volunteers, but the BFV values in the ICAs were significantly lower (325 ml/min). In patients with PCIS, the aggregated BFV in the ICAs was also significantly lower (399 ml/min) than in the control group but did not significantly differ from that in patients with VBI. In patients with PCIS, there was a significant decrease in the aggregated BFV in the VAs (105 ml/min), which distinguished this group from other examined patients.Conclusions: A significant decrease the BFV in the VA was observed only in patients with PCIS and was associated with the presence of steno-occlusive diseases (SOD) more often in the left VA. Patients with VBI had the most pronounced decrease in BFV in the ICA.

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