Bilateral acute visual loss from Rathke’s cleft cyst apoplexy in a patient with dengue fever

Suzuki, A.; Araújo, Rafael Barbosa de; Souza, Eduardo Cunha de; Monteiro, Mário Luiz Ribeiro

doi:10.5935/0004-2749.20140083

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Dear Editor, The recent report on "dengue and chiasmal compression" is very interesting (1) . Suzuki et al reported a case "presenting with dengue fever and bilateral acute visual loss caused by chiasmal compression due to Rathke's cleft cyst apoplexy" and concluded that "apoplexy of sellar and suprasellar tumors should be considered in the differential diagnosis of patients with acute visual loss and dengue fever (1) ".…”

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confidence: 99%

“…Suzuki et al reported a case "presenting with dengue fever and bilateral acute visual loss caused by chiasmal compression due to Rathke's cleft cyst apoplexy" and concluded that "apoplexy of sellar and suprasellar tumors should be considered in the differential diagnosis of patients with acute visual loss and dengue fever (1) ". The hemorrhagic complications of severe dengue infection are not uncommon and may present with ophthalmological symptoms.…”

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confidence: 99%

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Dengue and chiasmal compression

Wiwanitkit¹

2015

Arquivos Brasileiros De Oftalmologia

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mentioning

confidence: 99%

mentioning

confidence: 99%

Dengue and chiasmal compression

Wiwanitkit¹

2015

Arquivos Brasileiros De Oftalmologia

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“…Esse tipo de lesão é descrito como achado em autópsias em até 22% de pacientes sem histórico de disfunção hiposifária (40,41) . Raramente, esses cistos podem crescer progressivamente e comprimir estruturas adjacentes como o quiasma óptico ou ainda sangrar (42) , causando sintomas visuais, cefaleia e alterações hormonais agudas. A confirmação diagnóstica é histopatológica.…”

Section: Epidemiologiaunclassified

Correlação entre a densidade capilar da retina peripapilar e macular medidas com a angiotomografia de coerência óptica e as medidas de espessura retiniana e campimetria visual em olhos com atrofia em banda do nervo óptico

Suzuki¹

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Purpose: To compare the circumpapillary and superficial macular vessel density (cpVD and mVDsup) of eyes with temporal visual field (VF) defect and band atrophy (BA) of the optic nerve and normal controls using optical coherence tomography angiography (OCTA) and to verify the association of vessel density parameters with retinal neural loss assessed by conventional optical coherence tomography (OCT) and VF loss. Methods: Thirty-three eyes of 26 patients with BA and 42 eyes of 22 age-matched normal controls underwent OCT + OCTA scanning. cpVD and circumpapillary retinal nerve fiber layer (cpRNFL) thickness were expressed as average and sector measurements. mVDsup and macular ganglion cell complex (mGCC) thickness were calculated as averages and in quadrants and hemiretinas. VF loss was estimated using the 24-2 and the 10-2 protocols. Results: Compared with controls, BA eyes displayed smaller average cpVD and mVDsup values (p < 0.001 and AROC = 0.91 for both). Sectorial measurements were also reduced, especially the nasotemporal sector average cpVD (p < 0.001 and AROC = 0.96) and the nasal inferior retina mVDsup measurements (p < 0.001 and AROC = 0.93). cpVD and mVDsup correlated strongly (p<0,001) with corresponding cpRNFL and mGCC thickness measurements in affected regions (r range: 0.67-0.78 and 0.56-0.76, respectively). Similarly, cpVD and mVDsup parameters correlated significantly with corresponding VF loss (r range: 0.45-0.68). Conclusion: cpVD and mVDsup are significantly reduced in BA eyes compared with controls and are strongly correlated with retinal neural and VF loss. cpVD and mVDsup reduction on OCTA could serve as a surrogate for retinal neural loss in compressive optic neuropathy and might be useful in its management.

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Bilateral acute visual loss from Rathke’s cleft cyst apoplexy in a patient with dengue fever

Cited by 2 publications

References 7 publications

Dengue and chiasmal compression

Dengue and chiasmal compression

Correlação entre a densidade capilar da retina peripapilar e macular medidas com a angiotomografia de coerência óptica e as medidas de espessura retiniana e campimetria visual em olhos com atrofia em banda do nervo óptico

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