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Simple optic
atrophy in chronic subdural hematoma
Elke Müller, Hartmut Wenkel
Department of Ophthalmology, University Erlangen-Nürnberg
Chairman: Prof. Dr. G.O.H. Naumann
Patient A 68-year old male patient was referred to the University
Eye Hospital in Erlangen for evaluation of a conspicious optic nerve
head treated externally with antiglaucomatous medication. The patient
reported an accident three months ago without head injury and had no
ocular complaints. Visual acuity measured 20/30 on the right eye and
10/20 on the left eye. Ophthalmoscopy revealed a pale optic nerve head
especially in the upper temporal quadrant of the left eye (Figure 1A/B).
A computerized tomography showed a chronic subdural hematoma in the
front-parietal region with greater extension on the right side and compression
of the right ventricle (Figure 2A/B). The patient was immediately referred
to the neurosurgery department for trepanation and removal of the hematoma.
Conclusion A routine ophthalmological examination of asymptomatic
patients should include a detailed evaluation of the optic nerve head
to rule out glaucomatous or simple optic atrophy.
Key words Simple optic atrophy - chronic subdural hematoma
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Optic
nerve heads of a 68-year old male with chronic subdural hematoma.
Pale upper temporal quadrant of the left optic nerve head. |
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Computerized
tomography of the cranium with chronic subdural hematoma in the
front-parietal region with greater extension on the right side
and compression of the right ventricle.
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