View abstract

Cet abstract a été assigné à session OB Poster session > in O'Bistro
TitreLeukaemic infiltration of the optic nerve
ButTo report the importance of an ophthalmological consult in a patient with headache and blurred vision, who had a previous history of acute myelocytic leukaemia (AML) and was in succesfull remission.
MéthodesA case report
RésultatsA 39-year old woman suffered from headache and blurred vision. Fundoscopy showed bilateral prominent papil edema. Additional ophthalmological examinations were all abnormal, but contrast MRI of the brain was normal. We insisted on doing a lumbar puncture to evaluate intracranial pressure and collect CSF. This lumbar puncture showed a very high opening pressure and cytology revealed massive presence of leucocytosis from leukaemic blasts.
The diagnosis of meningeal leukaemia was made and an urgent treatment of intrathecal chemotherapy and pancraniel radiotherapy could be started till disappearance of the malignant cells.
ConclusionIn a patient with headache and blurred vision with a history of AML, an urgent ophthalmological consult has to be made, because optic disc swelling could be the only sign of relapse with leukaemic infiltration of the optic nerve. Further examinations and immediate therapy are required to preserve vision.
Auteur 1
NomAERTS
InitialesL
InstitutAntwerp University Hospital, Department of Ophthalmology
VilleEdegem
Auteur 2
NomDe Veuster
InitialesI
InstitutAntwerp University Hospital, Department of Ophthalmology
VilleEdegem
top ^