Open AccessA case of recurring Amaurosis Fugax
Author(s) -
Y. Suthahar,
John Blackwell,
George Zachariah,
Velaitham Umachandran
Publication year - 2019
Publication title -
milli nevrologiya jurnalı
Language(s) - English
Resource type - Journals
eISSN - 2617-8966
pISSN - 2227-0892
DOI - 10.28942/nnj.v1i3.188
Subject(s) - amaurosis fugax , medicine , amaurosis , aspirin , stroke (engine) , surgery , past medical history , carotid arteries , mechanical engineering , engineering
WW a 43 year old Caucasian Hospital Manager, first presented in July 08 complaining of transient mono-ocular visual loss in the right eye. She described sudden onset loss of vision – ‘like a curtain coming across the vision’. She then proceeded to have similar symptoms in the left eye. There was no history of a subsequent headache. The episode would between 30 seconds and 10 minutes and could occur up to 10 times a day. At times, the attack was also associated with some left arm numbness. She was initially reviewed by Dr Vu [ Stroke Consultant] who diagnosed Amaurosis Fugax and started her on standard anti-platelet therapy [combination of Aspirin and Dypyridamole]. She had very little in terms of vascular risk factors [nil hypertensive, minimal alcohol and a life-long non-smoker with a fasting cholesterol 3.12]. Her PMH history consisted of Gilberts’ Syndrome and endometriosis. She also suffered a DVT following a hysterectomy. Her initial investigations of a CT head and carotid duplex were normal.