Headache in a 27-year-old man: Bilateral serous retinal detachment

Yaghoubi, G. and Heydari, B. and Yaghoobi, M. A. (2011) Headache in a 27-year-old man: Bilateral serous retinal detachment. Journal of Neurosciences in Rural Practice, 2 (1). pp. 68-70.

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A 27-year-old man with a complaint of headache, tinnitus, and visual obscuration presented to a neurologist. Neurologic evaluations, including MRI and CT scan, were within normal limit. The prescribed medicines were propranolol, sumatriptin, valproate sodium, and dexamethasone. Ophthalmic examination was associated with reduction of visual acuity of eyes, bilateral uveitis, and serous retinal detachment. The most probable diagnosis was Vogt-Koyanagi-Harada (VKH) disease. Prescribing high-dose oral steroid and acetazolamide-improved systemic and ocular symptoms. Although HLAB5 is positive in Behet disease, it also may be seen in VKH.

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 Correspondence Address: Yaghoubi, G.; Department of Ophthalmology, Valiaser Hospital, Ghafari St, Birgand, Southern Khorassan, Iran; email: Yaqubig@yahoo.com
Uncontrolled Keywords: HLA-type retinal finding Vogt-Koyanagi-Harada acetazolamide dexamethasone prednisolone propranolol sumatriptan valproic acid adult anamnesis article blurred vision case report clinical feature computer assisted tomography drug treatment failure eye inflammation headache human male muscle rigidity neurologic examination nuchal rigidity nuclear magnetic resonance imaging ophthalmoscopy photophobia priority journal retina detachment smoking steroid therapy tinnitus visual acuity visual impairment Vogt Koyanagi syndrome
Subjects: WW Ophthalmology
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib7 lib7
Date Deposited: 29 Feb 2020 11:01
Last Modified: 02 Mar 2020 10:07
URI: http://eprints.mums.ac.ir/id/eprint/17145

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