Asunto(s)
ADN Mitocondrial/genética , Sordera/diagnóstico , Diabetes Mellitus Tipo 2/diagnóstico , Mitocondrias/genética , Mutación , Oftalmoscopía/métodos , Retina/patología , Anciano , Sordera/congénito , Sordera/genética , Diabetes Mellitus Tipo 2/congénito , Diabetes Mellitus Tipo 2/genética , Diagnóstico Diferencial , Humanos , Masculino , Mitocondrias/metabolismo , Enfermedades Mitocondriales , Retina/metabolismoRESUMEN
Comitant infantile exotropia is a rare entity and is far less common than infantile esotropia. It has been shown to be highly correlated with intracranial pathology. We report a case of a medulloblastoma in a child in whom it presented as an incomitant esotropia after surgical correction for comitant infantile exotropia.
Asunto(s)
Neoplasias Cerebelosas/complicaciones , Esotropía/complicaciones , Exotropía/complicaciones , Meduloblastoma/complicaciones , Neoplasias Cerebelosas/diagnóstico , Esotropía/cirugía , Exotropía/cirugía , Femenino , Humanos , Lactante , Imagen por Resonancia Magnética , Meduloblastoma/diagnóstico , Músculos Oculomotores/cirugía , Resultado del TratamientoAsunto(s)
Hamartoma/complicaciones , Órbita/patología , Enfermedades de la Retina/complicaciones , Epitelio Pigmentado de la Retina/patología , Fibrosis/congénito , Hamartoma/diagnóstico , Humanos , Lactante , Masculino , Músculos Oculomotores/patología , Enfermedades de la Retina/diagnóstico , Estrabismo/diagnóstico , Estrabismo/cirugía , Tomografía de Coherencia Óptica , Visión Binocular/fisiología , Agudeza Visual/fisiologíaRESUMEN
INTRODUCTION: We report a case of a 67-year-old male who presented with a cecocentral scotoma caused by a septic embolus from subacute bacterial endocarditis (SBE). METHODS: A 67-year-old man presented with sudden, painless decreased vision in the left eye. A dilated fundoscopic exam, Humphrey visual field test, transthoracic echocardiogram, abdominal computed tomography (CT), and blood cultures were all performed. RESULTS: A dilated fundoscopic exam revealed temporal segmental optic disc pallor on the left, and Humphrey visual field testing demonstrated a dense left cecocentral scotoma. When the patient developed fever (103. 9°F) and palpitations, transthoracic echocardiogram revealed valvular vegetations, and contrast CT of the abdomen revealed an abscess in the dome of the liver likely due to an infectious thrombus. Blood cultures grew viridians group streptococci in three separate peripheral collections. CONCLUSION: This case illustrates that a sudden cecocentral scotoma may be the initial manifestation of SBE.