Sneeze-induced visual and ocular motor dysfunction - 02/09/11

Abstract |
PURPOSE: The purpose of this report is to describe two neuroophthalmic complications that are related by their temporal association with a sneeze.
DESIGN: We describe observational case reports of two patients.
METHODS: Both patients were examined, and their conditions were diagnosed and treated according to standard indications for each neuroophthalmic condition.
RESULTS: The first case describes a patient who had previously undergone intracranial surgery, including removal of the clivus and later developed a trochlear nerve paresis after a sneeze. The second case describes a patient who repeatedly demonstrates transient decreased perfusion to his right central retinal artery and an associated afferent papillary defect after sneezing.
CONCLUSION: The mechanical and hemodynamic forces involved in sneezing are formidable and may cause permanent cranial neuropathy or temporarily alter ocular blood flow in certain patients.
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Vol 133 - N° 5
P. 725-727 - mai 2002 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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