{"id":5172,"date":"2011-07-14T20:24:07","date_gmt":"2011-07-14T20:24:07","guid":{"rendered":"http:\/\/crashtext.org\/misc\/amaurosis-fugax.htm\/"},"modified":"2012-08-01T19:26:27","modified_gmt":"2012-08-01T23:26:27","slug":"amaurosis-fugax","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/medical-surgical\/neurology\/amaurosis-fugax.htm\/","title":{"rendered":"Amaurosis Fugax"},"content":{"rendered":"
better terms are transient monocular\/binocular vision loss<\/p>\n
mono implies vision loss anterior to the chiasm (eye or ocular nerve)<\/p>\n
if from ischemia then it is ipsilateral carotid disease<\/p>\n
patients can have homonymous field cuts and attribute monocular loss to the eye with the temporal cut<\/p>\n
usually painless if ischemic<\/p>\n
<\/p>\n
most common cause is ischemia<\/p>\n
also optic neuropathy, papilledema, ocular disease<\/p>\n
more commonly from carotid disease rather than clots from the heart<\/p>\n
can also be from giant cell arteritis (usually mono, can be bilat)<\/p>\n
Send ESR in these patients if the right age (> 50 y\/o)<\/p>\n
<\/p>\n
migraine<\/p>\n
seizure<\/p>\n
vertebrobasilar ischemia<\/p>\n
also giant cell<\/p>\n
migraine is the most common<\/p>\n
<\/p>\n
esr\/crp if age > 50<\/p>\n
carotid duplex or cta of neck vessels<\/p>\n
echo?<\/p>\n
MRI with DWI<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Array<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[19],"tags":[],"yoast_head":"\n