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Publication details
Teaching Video NeuroImage: Amaurosis Fugax Due to Recurrent Central Retinal Artery Occlusion by Microemboli
Authors | |
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Year of publication | 2022 |
Type | Article in Periodical |
Magazine / Source | Neurology |
MU Faculty or unit | |
Citation | |
Web | https://n.neurology.org/content/99/7/313 |
Doi | http://dx.doi.org/10.1212/WNL.0000000000200890 |
Keywords | Amaurosis Fugax; Recurrent Central Retinal Artery Occlusion |
Description | A previously healthy 71-year-old woman with hypercholesterolemia and current tobacco use presented with transient painless vision loss in the left eye without other neurologic abnormalities. The 30-second episodes, followed by a recovery, repeated in 2- to 3-minute intervals.1 Microemboli passing through central retinal artery (CRA) vasculature (Video 1) originated from a complicated atherosclerotic plaque in the left internal carotid artery (Figure). After receiving intravenous thrombolysis 5 hours after symptom onset,2 she reported a scotoma in the inferior part of her left eye, which persisted 2 years later. Retinal embolism from carotid artery disease is the most common cause of CRA occlusion. |