Amaurosis Fugax
better terms are transient monocular/binocular vision loss
mono implies vision loss anterior to the chiasm (eye or ocular nerve)
if from ischemia then it is ipsilateral carotid disease
patients can have homonymous field cuts and attribute monocular loss to the eye with the temporal cut
usually painless if ischemic
TMVL
most common cause is ischemia
also optic neuropathy, papilledema, ocular disease
more commonly from carotid disease rather than clots from the heart
can also be from giant cell arteritis (usually mono, can be bilat)
Send ESR in these patients if the right age (> 50 y/o)
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TBVL
migraine
seizure
vertebrobasilar ischemia
also giant cell
migraine is the most common
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w/u
esr/crp if age > 50
carotid duplex or cta of neck vessels
echo?
MRI with DWI
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