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Double trouble with the disc - Hickam's dictum versus Occam's razor!
Differentiating glaucomatous and non-glaucomatous optic neuropathy can be challenging even to an experienced clinician and it is even more complex to identify early ophthalmic manifestation of neurological lesions when the optic nerve is already jeopardized by advanced glaucoma. This is a case of a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774227/ https://www.ncbi.nlm.nih.gov/pubmed/33120709 http://dx.doi.org/10.4103/ijo.IJO_825_20 |
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author | Kadambi, Sujatha V Lingam, Vijaya Praveen, Smita Priyadarshini, Durga George, Ronnie |
author_facet | Kadambi, Sujatha V Lingam, Vijaya Praveen, Smita Priyadarshini, Durga George, Ronnie |
author_sort | Kadambi, Sujatha V |
collection | PubMed |
description | Differentiating glaucomatous and non-glaucomatous optic neuropathy can be challenging even to an experienced clinician and it is even more complex to identify early ophthalmic manifestation of neurological lesions when the optic nerve is already jeopardized by advanced glaucoma. This is a case of a patient with juvenile open-angle glaucoma with advanced glaucomatous cupping who developed an intracranial tuberculoma and subsequent obstructive hydrocephalus. Subtle edema identified in an almost totally damaged nerve, coupled with a history of headache and tinnitus, was the clinching factor prompting early treatment in the form of ventriculoperitoneal shunting and antituberculous therapy. Detailed history, systematic clinical exam, and appropriate imaging are imperative in reducing morbidity and sometimes mortality associated with these neurological conditions. |
format | Online Article Text |
id | pubmed-7774227 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-77742272021-01-07 Double trouble with the disc - Hickam's dictum versus Occam's razor! Kadambi, Sujatha V Lingam, Vijaya Praveen, Smita Priyadarshini, Durga George, Ronnie Indian J Ophthalmol Case Reports Differentiating glaucomatous and non-glaucomatous optic neuropathy can be challenging even to an experienced clinician and it is even more complex to identify early ophthalmic manifestation of neurological lesions when the optic nerve is already jeopardized by advanced glaucoma. This is a case of a patient with juvenile open-angle glaucoma with advanced glaucomatous cupping who developed an intracranial tuberculoma and subsequent obstructive hydrocephalus. Subtle edema identified in an almost totally damaged nerve, coupled with a history of headache and tinnitus, was the clinching factor prompting early treatment in the form of ventriculoperitoneal shunting and antituberculous therapy. Detailed history, systematic clinical exam, and appropriate imaging are imperative in reducing morbidity and sometimes mortality associated with these neurological conditions. Wolters Kluwer - Medknow 2020-11 2020-10-26 /pmc/articles/PMC7774227/ /pubmed/33120709 http://dx.doi.org/10.4103/ijo.IJO_825_20 Text en Copyright: © 2020 Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Reports Kadambi, Sujatha V Lingam, Vijaya Praveen, Smita Priyadarshini, Durga George, Ronnie Double trouble with the disc - Hickam's dictum versus Occam's razor! |
title | Double trouble with the disc - Hickam's dictum versus Occam's razor! |
title_full | Double trouble with the disc - Hickam's dictum versus Occam's razor! |
title_fullStr | Double trouble with the disc - Hickam's dictum versus Occam's razor! |
title_full_unstemmed | Double trouble with the disc - Hickam's dictum versus Occam's razor! |
title_short | Double trouble with the disc - Hickam's dictum versus Occam's razor! |
title_sort | double trouble with the disc - hickam's dictum versus occam's razor! |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774227/ https://www.ncbi.nlm.nih.gov/pubmed/33120709 http://dx.doi.org/10.4103/ijo.IJO_825_20 |
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