Neuro-Ophthalmology Japan
Online ISSN : 2188-2002
Print ISSN : 0289-7024
ISSN-L : 0289-7024
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Visual Disturbance Due to Intracranial Hypotension
Akiko Yamagami
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2022 Volume 39 Issue 1 Pages 26-33

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Abstract

 The symptoms of cerebrospinal fluid leakage include headache, neck pain, dizziness, tinnitus, visual disturbance, nausea, malaise, and fatigue. Many patients also present to the ophthalmologist with symptoms such as eye pain, inability to focus, monocular diplopia, diplopia, decreased visual acuity, photophobia, and visual field disturbance. Ocular findings include convergence spasm, unexplained visual acuity and visual field disturbance, and concentric contraction; however, in several cases no ophthalmologic abnormality is found. In this article, we present four cases of cerebrospinal fluid leakage after ophthalmologic examination. It is necessary to pay attention to symptoms other than ocular findings, check the history of accidents and past trauma, and refer the patient to a specialist if cerebrospinal fluid leakage is suspected.

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© 2022 The Japanese Neuro-Ophthalmology Society
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