Two case reports of syringomyelia with optic neuropathy in Malay women
Case 1
A 36-year-old woman presented to the clinic with acute onset of blurred vision in her left eye for one month. Doctors diagnosed her with syringomyelia twelve years ago and she was on conservative treatment. Moreover, her visual acuity was 6/6 in the right eye, and she could count fingers at 1m in the left. Her doctors also saw a positive relative afferent pupillary defect in her left eye. 1xbet شرح موقع In addition, the optic nerve function of her left eye was concentrated. Her visual field showed a defect in the left inferior field, and her extraocular movements were full. كيف يلعب البوكر
MRI of the brain and spine revealed syringomyelia at the C2-C6 and T2-T-9 levels. Furthermore, there was no abnormality in both of her optic nerves. Doctors gave her IV and oral corticosteroid which improved her condition.
Case 2
A 44-year-old woman presented to the clinic with central scotoma in her right eye that was progressive for one month. Her previous history revealed recurrent episodes of weakness in her lower limbs for eight months. Her right eye’s visual acuity was 6/9 and 6/6 for the left eye. Moreover, the relative afferent pupillary defect was positive in her right eye and her optic nerve functions were affected.
Central scotoma was seen in the visual field of her right eye. Furthermore, her movements of the extraocular muscles were full. Doctors also saw a pale optic disc when they did a fundoscopy of the right eye. However, her left eye fundus was normal. بينجو لعبة MRI of the brain and spine revealed syringomyelia at T-3-T-6. Optic nerves were normal, and all results were significant for the diagnosis of syringomyelia with right optic atrophy. IV and oral corticosteroids improved her condition.
Conclusion
Optic neuropathy is rare in patients with syringomyelia. However, prompt diagnosis and timely management are needed to avoid a poor visual outcome. IV corticosteroids are beneficial in treating early optic neuropathy in syringomyelia.
