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Ischemic Optic Neuropathy in Migraine

Ischemic Optic Neuropathy in Migraine Abstract • Two patients with histories of migraine had ischemic optic neuropathy develop during an episode of migraine. Clinical and radiologic studies excluded other causes of visual loss. Fluorescein angiography confirmed an ischemic process involving the optic disc. In both cases, visual loss was permanent. No further visual disturbance has occurred in either patient during a two-year period of follow-up while taking oral doses of propranolol hydrochloride. References 1. Ellenberger C: Ischemic optic neuropathy and hypertension . Am J Ophthalmol 1979;88:1045-1051. 2. Boghen DR, Glaser JS: Ischaemic optic neuropathy . Brain 1971;98:689-708.Crossref 3. Sanders MD: Ischemic papillopathy . Trans Ophthalmol Soc UK 1971;91:369-386. 4. Henkind P, Charles C, Pearson J: Histopathology of ischemic optic neuropathy . Am J Ophthalmol 1970;69:78-90. 5. Kimbrell OC, Whellis JA: Anterior ischemic optic neuropathy in collagen vascular disease . JAMA 1967;201:61-62.Crossref 6. McDonald WI, Sanders MD: Migraine complicated by ischaemic papillopathy . Lancet 1971;1:521-523.Crossref 7. Ellenberger C, Keltner JL, Burde RM: Acute optic neuropathy in older patients . Arch Neurol 1973;28:182-185.Crossref 8. Eagling EM, Sanders MD, Miller SJH: Ischaemic papillopathy . Br J Ophthalmol 1974;58:990-1008.Crossref 9. Drance S, Morgan RM, Sweeney VP: Shock-induced optic neuropathy . N Engl J Med 1973;288:392-394.Crossref 10. Beck RW, Gamel JW, Willcourt RJ, et al: Acute ischemic optic neuropathy in severe pre-eclampsia . Am J Ophthalmol 1980;90:342-346. 11. Carroll FD: Optic nerve complications of cataract extraction . Trans Am Acad Ophthalmol Otolaryngol 1973;77:623-629. 12. Wolff HG, revised by Dalessio DJ: Headache and Other Head Pain , ed 3. New York, Oxford University Press, 1972. 13. Dunning HS: Intracranial and extracranial vascular accidents in migraine . Arch Neurol Psychiatry 1942;48:396-406.Crossref 14. Wolter JR, Burchfield JW: Ocular migraine in a young man resulting in unilateral transient blindness and retinal edema . J Pediatr Ophthalmol 1971;8:171-176. 15. Kline LB, Kelly CL: Ocular migraine in a patient with cluster headaches . Headache 1980;2:253-257.Crossref 16. Brown GC, Mogorgol LE, Shields JA, et al: Retinal arterial obstructions in children and young adults . Ophthalmology 1981;88:18-25.Crossref 17. Friedman MW: Occlusion of retinal vein in migraine . Arch Ophthalmol 1951;45:678-682.Crossref 18. Victor DL, Welch RB: Bilateral retinal hemorrhages and disc edema in migraine . Am J Ophthalmol 1977;84:555-558. 19. Boisen E: Stroke in migraine: Report on seven strokes associated with severe migraine attacks . Dan Med Bull 1975;22:100-106. 20. Walsh JP, O'Doherty DS: A possible explanation of ophthalmoplegic migraine . Neurology 1960;10:1079-1081.Crossref 21. Kalendovsky Z, Austin JH: Complicated migraine: Its association with increased platelet aggregability and abnormal plasma coagulability factors . Headache 1975;15:18-35.Crossref 22. Otis SM, Smith RA, Kroll AD, et al: Vasospasm and vascular headaches: Selective vasoconstriction in the carotid vascular system measured by the Doppler ophthalmic method in migraineurs . Headache 1979;19:200-203.Crossref 23. Heych H: The importance of arteriovenous shunts in the pathogenesis of migraine in Cochrane AL (ed): Background to Migraine: Third Migraine Symposium . New York, Springer-Verlag, 1970, chap 3. 24. Saxena PR: Arteriovenous shunting and migraine . Res Clin Stud Headache 1978;6:89-102. 25. Joffe JN: Retinal blood vessel diameter during migraine . Eye Ear Nose Throat Mon 1973;52:338-342. 26. Blau JN, Davis E: Small blood vessels in migraine . Lancet 1970;2:740-742.Crossref 27. Hayreh SS: Anterior Ischemic Optic Neuropathy . New York, Springer-Verlag, 1975. 28. Anderson DR, Davis EB: Retina and optic nerve after posterior ciliary artery occlusion . Arch Ophthalmol 1974;92:422-426.Crossref 29. Hayreh SS: Pathogenesis of visual field defects: Role of the ciliary circulation . Br J Ophthalmol 1970;54:289-311.Crossref 30. Lieberman MF, Maumenee AE, Green RW: Histologic studies of the vasculature of the anterior optic nerve . Am J Ophthalmol 1976;82:405-423. 31. Ernest JT, Potts AM: Pathophysiology of the distal portion of the optic nerve head: II. Vascular relationships . Am J Ophthalmol 1968;66:380-387. 32. Blau JN: Migraine: A vasomotor instability of the meningeal circulation . Lancet 1978;2:1136-1139.Crossref 33. Cowan CL, Jr, Knox DL: Migrane optic neuropathy . Ann Ophthalmol 1982;14:164-166. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Ischemic Optic Neuropathy in Migraine

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1982.01030040075013
Publisher site
See Article on Publisher Site

Abstract

Abstract • Two patients with histories of migraine had ischemic optic neuropathy develop during an episode of migraine. Clinical and radiologic studies excluded other causes of visual loss. Fluorescein angiography confirmed an ischemic process involving the optic disc. In both cases, visual loss was permanent. No further visual disturbance has occurred in either patient during a two-year period of follow-up while taking oral doses of propranolol hydrochloride. References 1. Ellenberger C: Ischemic optic neuropathy and hypertension . Am J Ophthalmol 1979;88:1045-1051. 2. Boghen DR, Glaser JS: Ischaemic optic neuropathy . Brain 1971;98:689-708.Crossref 3. Sanders MD: Ischemic papillopathy . Trans Ophthalmol Soc UK 1971;91:369-386. 4. Henkind P, Charles C, Pearson J: Histopathology of ischemic optic neuropathy . Am J Ophthalmol 1970;69:78-90. 5. Kimbrell OC, Whellis JA: Anterior ischemic optic neuropathy in collagen vascular disease . JAMA 1967;201:61-62.Crossref 6. McDonald WI, Sanders MD: Migraine complicated by ischaemic papillopathy . Lancet 1971;1:521-523.Crossref 7. Ellenberger C, Keltner JL, Burde RM: Acute optic neuropathy in older patients . Arch Neurol 1973;28:182-185.Crossref 8. Eagling EM, Sanders MD, Miller SJH: Ischaemic papillopathy . Br J Ophthalmol 1974;58:990-1008.Crossref 9. Drance S, Morgan RM, Sweeney VP: Shock-induced optic neuropathy . N Engl J Med 1973;288:392-394.Crossref 10. Beck RW, Gamel JW, Willcourt RJ, et al: Acute ischemic optic neuropathy in severe pre-eclampsia . Am J Ophthalmol 1980;90:342-346. 11. Carroll FD: Optic nerve complications of cataract extraction . Trans Am Acad Ophthalmol Otolaryngol 1973;77:623-629. 12. Wolff HG, revised by Dalessio DJ: Headache and Other Head Pain , ed 3. New York, Oxford University Press, 1972. 13. Dunning HS: Intracranial and extracranial vascular accidents in migraine . Arch Neurol Psychiatry 1942;48:396-406.Crossref 14. Wolter JR, Burchfield JW: Ocular migraine in a young man resulting in unilateral transient blindness and retinal edema . J Pediatr Ophthalmol 1971;8:171-176. 15. Kline LB, Kelly CL: Ocular migraine in a patient with cluster headaches . Headache 1980;2:253-257.Crossref 16. Brown GC, Mogorgol LE, Shields JA, et al: Retinal arterial obstructions in children and young adults . Ophthalmology 1981;88:18-25.Crossref 17. Friedman MW: Occlusion of retinal vein in migraine . Arch Ophthalmol 1951;45:678-682.Crossref 18. Victor DL, Welch RB: Bilateral retinal hemorrhages and disc edema in migraine . Am J Ophthalmol 1977;84:555-558. 19. Boisen E: Stroke in migraine: Report on seven strokes associated with severe migraine attacks . Dan Med Bull 1975;22:100-106. 20. Walsh JP, O'Doherty DS: A possible explanation of ophthalmoplegic migraine . Neurology 1960;10:1079-1081.Crossref 21. Kalendovsky Z, Austin JH: Complicated migraine: Its association with increased platelet aggregability and abnormal plasma coagulability factors . Headache 1975;15:18-35.Crossref 22. Otis SM, Smith RA, Kroll AD, et al: Vasospasm and vascular headaches: Selective vasoconstriction in the carotid vascular system measured by the Doppler ophthalmic method in migraineurs . Headache 1979;19:200-203.Crossref 23. Heych H: The importance of arteriovenous shunts in the pathogenesis of migraine in Cochrane AL (ed): Background to Migraine: Third Migraine Symposium . New York, Springer-Verlag, 1970, chap 3. 24. Saxena PR: Arteriovenous shunting and migraine . Res Clin Stud Headache 1978;6:89-102. 25. Joffe JN: Retinal blood vessel diameter during migraine . Eye Ear Nose Throat Mon 1973;52:338-342. 26. Blau JN, Davis E: Small blood vessels in migraine . Lancet 1970;2:740-742.Crossref 27. Hayreh SS: Anterior Ischemic Optic Neuropathy . New York, Springer-Verlag, 1975. 28. Anderson DR, Davis EB: Retina and optic nerve after posterior ciliary artery occlusion . Arch Ophthalmol 1974;92:422-426.Crossref 29. Hayreh SS: Pathogenesis of visual field defects: Role of the ciliary circulation . Br J Ophthalmol 1970;54:289-311.Crossref 30. Lieberman MF, Maumenee AE, Green RW: Histologic studies of the vasculature of the anterior optic nerve . Am J Ophthalmol 1976;82:405-423. 31. Ernest JT, Potts AM: Pathophysiology of the distal portion of the optic nerve head: II. Vascular relationships . Am J Ophthalmol 1968;66:380-387. 32. Blau JN: Migraine: A vasomotor instability of the meningeal circulation . Lancet 1978;2:1136-1139.Crossref 33. Cowan CL, Jr, Knox DL: Migrane optic neuropathy . Ann Ophthalmol 1982;14:164-166.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1982

References