Presentation
Each diagnosis includes clinical presentation(s) of affected patients, the best sequences for imaging analysis, expected imaging sequences (in both common and uncommon presentations), and imaging examples of key features. [books.google.com]
Patients tend to present a decade earlier and early macular involvement rapidly impairs vision. [patient.info]
A 67-year-old man presented with a history of wet AMD in his left eye. Subfoveal CNV, which was suspected to be PCV, was present in his right eye. [omicsonline.org]
Intraventricular hemorrhage denotes the present of blood within the cerebral ventricular system. It is associated with significant morbidity due to the risk of obstructive hydrocephalus. [radiopaedia.org]
Acute-angle closure in a pseudophakic patient is an atypical presentation, and when presenting bilaterally, pharmacological or systemic causes should be considered. [djo.harvard.edu]
Entire Body System
- Inflammation
The treatment is dependent on the underlying cause and may include the following measures: Oral medications (including pain medications) Oral corticosteroids are generally effective and may be given to control inflammation. [dovemed.com]
Treatment and prognosis Choroidal detachments are generally treated with topical medications, such as eye drops, that help reduce inflammation and dilate the pupil. [asrs.org]
In the presence of inflammation, the eye is treated aggressively with topical or oral steroids. [aao.org]
Other symptoms that need quick attention are pain, double vision, fluid coming from the eye, and inflammation. [icdlist.com]
In cases of persistent serous choroidals associated with inflammation, systemic steroids may be indicated. [glaucomatoday.com]
- Asymptomatic
Presentation Many patients are asymptomatic but they may complain of metamorphopsia or impaired vision over time. Investigations Fluorescein angiogram. Treatment This depends on the underlying cause but asymptomatic folds do not require treatment. [patient.info]
Most arise in the lateral ventricular choroid plexus and are asymptomatic with only a few symptomatic cases described in the literature (6). [path.upmc.edu]
[…] exclusively to liver ( Methods Mol Biol 2014;1102:397 ) Tumor size, location and cell type are the most important histopathologic prognostic factors but molecular testing plays an increasing clinical role in prognostication Clinical features Half of cases are asymptomatic [pathologyoutlines.com]
An individual with a choroidal rupture may indeed be asymptomatic if the rupture and any associated hemorrhage does not involve the fovea or parafoveal retina. [eyewiki.aao.org]
Patients may complain of sudden pain and visual loss, whereas others will be asymptomatic. Some effusions may be very low and peripherally located and will only be diagnosed with ultrasound. [glaucomatoday.com]
- Falling
[…] on the ground or other hard place, as it is very brittle and might easily be broken by a fall. [books.google.de]
Idiopathic causes fall under the umbrella of uveal effusion syndrome, a rare condition usually considered a diagnosis of exclusion. [aao.org]
However, this implication is doubtful because it occurs with local and general anaesthesia and regardless of whether epinephrine is used or not A sudden precipitous fall in intraocular pressure resulting from surgical decompression of the globe may be [ijo.in]
Cardiovascular
- Hypertension
Three patients were hypertensive, and three of the four had been diagnosed with age-related macular degeneration. Four eyes underwent choroidal drainage procedures, and one was observed. [ncbi.nlm.nih.gov]
[…] fragment OS OS lens fragment migration to visual axis with central macular edema Post-op week six status post (s/p) pars plana vitrectomy (PPV) OS with removal of lens fragment Persistent postoperative pressure spike OS on maximally tolerated topical anti-hypertensive [eyewiki.aao.org]
Primary Some of the more common causes of primary intraventricular hemorrhage in adults include 2,5 : hypertension vascular malformations aneurysm (e.g. [radiopaedia.org]
The patientís medical history included treatment for systemic hypertension, and she was taking aspirin due to a cerebral infarction some years earlier. [crstodayeurope.com]
Eyes
- Arcus Senilis
Senilis Arcus, Corneal (Arcus Senilis) Asthenopia Astigmatism Astrocytoma, Malignant, Optic Nerve (Optic Nerve Glioma) Atrophies, Gyrate (Gyrate Atrophy) Atrophies, Hereditary Optic (Optic Atrophies, Hereditary) Atrophy, Optic (Optic Atrophy) In bold [provisu.ch]
- Eye Pain
[…] and discharge (Medical Encyclopedia) Eye pain (Medical Encyclopedia) Eye redness (Medical Encyclopedia) Fluorescein angiography (Medical Encyclopedia) Fluorescein eye stain (Medical Encyclopedia) Heterochromia (Medical Encyclopedia) Ophthalmoscopy (Medical [icdlist.com]
pain presents to outside hospital emergency department Found to have OS intra-ocular pressure (IOP) of 50 decreased to 15 with topical regimen of Xalatan (latanoprost), CoSopt (timolol+dorzolamide), Alphagan (brimonidine) and oral Diamox (acetazolamide [eyewiki.aao.org]
Neurologic
- Intracranial Hemorrhage
Choroid plexus hemorrhage appeared to be the sole bleeding site in 10 (59%) of the 17 patients with intracranial hemorrhage. Hemorrhage in the region of the caudate nucleus was seen in the other seven cases (41%). [ncbi.nlm.nih.gov]
Each year, approximately 37,000 to 52,400 people in the United States have an intracranial hemorrhage (4). Spontaneous intracranial hemorrhage has not been previously reported due to acute hemorrhage within a choroid plexus xanthogranuloma. [path.upmc.edu]
Intracranial hemorrhage grade 4 Grade 4 intracranial hemorrhage Originally these grade 4 hemorrhages were thought to result from subependymal bleeding into the adjacent brain. [radiologyassistant.nl]
It is therefore appropriate to perform a hemorrhagic and thrombotic screen in any term neonate presenting with intracranial hemorrhage. [mrineonatalbrain.com]
- Stroke
Updated coverage of brain trauma addresses newly recognized entities, techniques and imaging for rapid stroke triage, and functional imaging and dementia diagnosis. [books.google.com]
Stroke. 28 (1): 141–8. doi : 10.1161/01.STR.28.1.141. PMID 8996503. ^ a b c d Naff, Neal (June 1, 1999). "Intraventricular hemorrhage in adults". Current Treatment Options in Neurology. 1 (3). ^ Jaliya R. [en.wikipedia.org]
S100B is elevated in CSF and blood in acute brain injury caused by trauma and stroke, and its concentration correlates with the severity of injury and clinical outcome. [neuropathology-web.org]
[…] hemorrhages hypertensive hemorrhage, especially basal ganglia hemorrhage (common) lobar hemorrhage subarachnoid hemorrhage trauma CT Non contrast CT of the brain is the mainstay of acute evaluation of patients presenting to with sudden onset headache or stroke-like [radiopaedia.org]
- Papilledema
PSEUDOTUMOR CEREBRI Defective resorption of CSF into the superior sagittal sinus due to sinovenous thrombosis accounts for some cases of the syndrome of pseudotumor cerebri, which is characterized by headache, papilledema, increased CSF pressure and normal [neuropathology-web.org]
Workup
We referred the patient for a medical workup and asked her to return in six to eight weeks for close observation. The patient returned two years later with complaints of vision loss OS (20/100; OD remained 20/20). [reviewofoptometry.com]
Cerebrospinal Fluid
- Xanthochromia
Xanthochromia (blonde color) of the CSF following subarachnoid hemorrhage is due to oxyhemoglobin which appears in 4 to 6 hours and bilirubin which appears in two days. [neuropathology-web.org]
[…] and include sudden onset of headache, nausea and vomiting, together with an alteration of the mental state and/or level of consciousness. [6] Focal neurological signs are either minimal or absent, but focal and/or generalized seizures may occur. [6] Xanthochromia [en.wikipedia.org]
Treatment
If treatment with aflibercept is to be given in the fellow eye, the injections are to be administered according to the Food and Drug Administration (FDA) approved label for EYLEA®. [clinicaltrials.gov]
In contrast, in patients given laser treatment the improvement after a year was only about 1 letter. [ema.europa.eu]
Treatment - monotherapy: ciclosporin or triple therapy: systemic steroids, azathioprine and ciclosporin; stem cell treatment [ 10 ]. [patient.info]
This series of dye tests will demonstrate the effectiveness of treatments and help the doctor decide if additional or alternative treatments should be done. [maculacenter.com]
Prognosis
Prognosis of grade 1 intraventricular hemorrhage No large scale studies on prenatal grade 1 hemorrhages, but current data suggests a very good prognosis. Neonatal grade 1 hemorrhages have been studied extensively and have excellent prognosis [myminifellowship.com]
Prognosis - this condition recurs over months and frequent foveal involvement gives rise to a relatively poor prognosis. Multiple evanescent white dot syndrome (MEWDS) Nature - uncommon, idiopathic and self-limiting condition. [patient.info]
(Outcomes/Resolutions) The prognosis of Choroidal Detachment and Hemorrhage depends upon the severity of the underlying condition and the signs and symptoms An early diagnosis and adequate treatment can ensure better prognosis than late detections and [dovemed.com]
Prognosis is guarded. Glaucoma studies with delayed suprachoroidal hemorrhage show that patients had a pre-operative mean VA logMAR of 0.8 (~20/125), with a post-event mean VA logMAR of 1.34 (Count Fingers to Light Perception range). [eyewiki.aao.org]
PURPOSE: To describe the course, management, and prognosis of massive spontaneous choroidal hemorrhage. [ncbi.nlm.nih.gov]
Etiology
Conclusions: ETV is a valid treatment for hydrocephalus of any etiology. There exists a small difference in success rates between infection, hemorrhage, and neural tube disorders, though not enough to discount ETV for these etiologies. [discovery.dundee.ac.uk]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
There are numerous causes of intraventricular hemorrhage and as such no single demographic can be identified; rather each underlying etiology contributes its own patient population. [radiopaedia.org]
Manifestation code identifies conditions for which it is important to record both the etiology and the symptom of the disease. [books.google.com]
The etiology of the tumor is unknown but factors implicated in its development, however, include inflammation, trauma, hormonal state, calcium metabolism, environment, and heredity. [sfo-online.fr]
Epidemiology
Previous Next Section: Epidemiology Primary prevention In order to prevent the development of a choroidal rupture, avoidance of a closed globe injury is necessary. [eyewiki.aao.org]
"Traumatic Brain Injury: Definition, Epidemiology, Pathophysiology" Emedicine.com. Retrieved on June 19, 2007. ^ Vinas FC and Pilitsis J. 2006. "Penetrating Head Trauma." [en.wikipedia.org]
Epidemiology Frequency International Serous choroidal detachments are recognized easily when large. [emedicine.medscape.com]
EPIDEMIOLOGY AND PATHOGENESIS Choroidal hemorrhage may occur in a limited form or as a massive event. [medtextfree.wordpress.com]
Pathophysiology
Posted by on Oct 1, 2010 in suprachoroidal hemorrhage | Comments Off on Expulsive Choroidal Hemorrhage: What Yes and What Never Ferenc Kuhn (Birmingham, AL, USA) Advantages: Understanding the pathophysiology of the disease helps preventing the otherwise [evrs.eu]
Additional information is included concerning the pathophysiology and pathology of the disorders being discussed as well as basic information concerning the causative genes (when appropriate). [books.google.com]
[…] patent Iris: Superior surgical peripheral iridectomy; iris transillumination defects Lens: Aphakia Differential Diagnosis Suprachoroidal hemorrhage Choroidal effusions Endophthalmitis Retinal detachment Additional Investigations Suprachoroidal hemorrhage Pathophysiology [eyewiki.aao.org]
Pathophysiology In a normal eye, the suprachoroidal space is essentially nonexistent because of close apposition of the choroid to the sclera. [aao.org]
Prevention
/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Some eye [medicbind.com]
Posted by on Oct 1, 2010 in suprachoroidal hemorrhage | Comments Off on Expulsive Choroidal Hemorrhage: What Yes and What Never Ferenc Kuhn (Birmingham, AL, USA) Advantages: Understanding the pathophysiology of the disease helps preventing the otherwise [evrs.eu]
Some surgeons recommend placement of two or three posterior sclerotomies to prevent such expansion. [medtextfree.wordpress.com]
[…] is to prevent them by minimizing hypotony and inflammation intraoperatively and postoperatively. [aao.org]