Year : 2012 | Volume
: 5 | Issue : 1 | Page : 46--50
Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review
Nicolas Bonnin1, Frédéric Chiambaretta1, Miguel Ulla2, Frédéric Taithe2, Emmanuel Chabert3, Béatrice Claise3, Franck Bacin1
1 CHU Clermont-Ferrand, Pôle Médecine Interne-Ophtalmologie-ORL, Service d'Ophtalmologie, Clermont-Ferrand, France
2 CHU Clermont-Ferrand, Pôle Rhumatologie, Médecine Physique et de Réadaptation Neurologie et Neurochirurgie, Centre d'Evaluation et Traitement de la Douleur, Service de Neurologie, Clermont-Ferrand, France
3 CHU Clermont-Ferrand, Pôle Radiologie, Service de Neuroradiologie, F-63003, Clermont-Ferrand, France
To describe the clinical features of a patient with toxoplasmic pachymeningitis and provide a review of the recent cases of pachymeningitis in the literature.Retrospective, observational case report. A one-eyed patient who presented to our institution with blurred vision, floaters, and visual field shrinkage. Review of clinical, laboratory, perimetric, and radiologic records of the patient and description of the efficacy of antibiotic therapy. The signs of ocular impairment, including visual acuity, visual field, and magnetic resonance imaging (MRI) changes. A one-eyed patient who complained of blurred vision and unexplained visual field shrinkage was evaluated. The diagnosis of toxoplasmic pachymeningitis was confirmed by existence of a toxoplasmic seroconversion, cerebrospinal fluid abnormalities, radiological features, absence of other diagnoses, improvement of symptoms, and resolution of pachymeningitis in MRI with oral trimethoprim-sulfamethoxazole combination.
Pachymeningitis is a rare disease and toxoplasmic pachymeningitis has never been described. Among the various infectious causes, screening for toxoplasmosis must be performed because it can lead to pachymeningitis and sequelae. Variable features may lead to misdiagnosis and delay in the treatment of this sight-threatening and potentially fatal disease.
Service d«SQ»Ophtalmologie, F 63003 Clermont Ferrand
|How to cite this article:|
Bonnin N, Chiambaretta F, Ulla M, Taithe F, Chabert E, Claise B, Bacin F. Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review.Oman J Ophthalmol 2012;5:46-50
|How to cite this URL:|
Bonnin N, Chiambaretta F, Ulla M, Taithe F, Chabert E, Claise B, Bacin F. Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review. Oman J Ophthalmol [serial online] 2012 [cited 2020 May 27 ];5:46-50
Available from: http://www.ojoonline.org/article.asp?issn=0974-620X;year=2012;volume=5;issue=1;spage=46;epage=50;aulast=Bonnin;type=0