Pseudopapiledema secondary to drusen of the optic nerve. Case report

Authors

Keywords:

pseudopapiledema, optical disc drusen

Abstract

Introduction: optic nerve drusen are rounded structures of a calcic nature that develop in the optic nerve, and evolve dynamically in adulthood and cause serious campimetric alterations. They tend to appear in small optical discs probably due to the blockage of axonal transport that originates their accumulation.
Case report: 22-year-old female patient, with no personal pathological history, who came to the hospital consultation because she had, for some months, dizziness, bifrontal headache refractory to treatment and decreased visual acuity, especially of the left eye.
Conclusions: the capacity of these hyaline or drusen bodies to damage the layer of nerve fibers and their effect on visual fields can become incapacitating for the patient's daily functions.

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Author Biographies

Yanet Valdés Morales, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Especialista en I Grado en Medicina General Integral. Especialista en I Grado en Imagenología. Máster en Atención Integral a la Mujer. Profesora Asistente en la Universidad de Ciencias Médicas de Villa Clara.

Leidy Viera Leal, Hospital Provincial Clínico Quirúrgico Universitario "Arnaldo Milián Castro"

Doctora en Medicina. Residente de Imagenología.

Ernesto Betancourt López, Universidad de Ciencias Médicas de Villa Clara

Estudiante de Medicina

References

1.Pérez-Bartolomé F, Cifuentes-Canorea P, Santos-Bueso E, García-Feijoó J. Simulación de neuropatía óptica por drusas. Neurología [Internet]. 2016 Nov-Dic [citado 18/04/2020];31(9):651-653. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0213485314000401. https://doi.org/10.1016/j.nrl.2014.03.004

2.Bermúdez Vallecilla MC, Santos Bueso E, Sáenz Frances F, García Feijoo F. Severe visual field alterations in patients with optic nerve drusen. Neurologia [Internet]. 2015 [citado 18/04/2020];30(6):383-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24342189/. http://dx.doi.org/10.1016/j.nrl.2013.10.001

3.Moreno M, Vázquez AM, Domínguez R, Rosas M. Pérdida severa y aguda de campo visual en paciente joven con drusas de papila. Arch Soc Esp Oftalmol [Internet]. 2014 [citado 18/04/2020];89(8):324-328. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0365669113002359. https://doi.org/10.1016/j.oftal.2013.06.011

4.Nentwich MM, Remy M, Haritoglou C, Kampik A. Radial optic neurotomy to treat patients with visual field defects associated with optic nerve drusen. Retina [Internet]. 2011 Mar [citado 10/06/2020];31(3):612-615. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21336072/. https://doi.org/10.1097/iae.0b013e318209b748

5.Tatlipinar S, Kadayifçilar S, Bozkurt B, Gedik S, Karaagaoglu E, Orhan M, et al. Polarimetric nerve fiber analysis in patients with visible optic nerve head drusen. J Neuroophthalmol [Internet]. 2001 Dec [citado 10/06/2020];21(4):245-249. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11756852/. https://doi.org/10.1097/00041327-200112000-00003

6.Wilkins JM, Pomeranz HD. Visual manifestations of visible and buried optic disc drusen. J Neuroophthalmol [Internet]. 2004 Jun [citado 10/06/2020];24(2):125-129. Disponible en: https://pubmed.ncbi.nlm.nih.gov/15179065/. https://doi.org/10.1097/00041327-200406000-00006

7.Calvo-González C, Santos-Bueso E, Díaz-Valle D, Reche-Frutos J, Moriche-Carretero M, Benítez-Del-Castillo JM, et al. Drusas del nervio óptico y defectos campimétricos severos. Arch Soc Esp Oftalmol [Internet]. 2006 May [citado 10/06/2020];81(5):269-73. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912006000500005

8.Mustonen E. Pseudopapilloedema with and without verified optic disc drusen: a clinical analysis II: visual fields. Acta Ophthalmol [Internet]. 1983 Dec [citado 18/06/2020];61(6):1057-66. Disponible en: https://pubmed.ncbi.nlm.nih.gov/6659908/. https://doi.org/10.1111/j.1755-3768.1983.tb01493.x

9.Velasco-Gallegos G, Garza-Cantú D, Rodríguez-Hernández R. Drusen de nervio óptico, ¿patología benigna? Reporte de tres casos. Rev Mex Oftalmol [Internet]. 2005 May-Jun [citado 18/06/2020];79(3):173-178. Disponible en: https://www.medigraphic.com/pdfs/revmexoft/rmo-2005/rmo053j.pdf

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Published

2021-01-13

How to Cite

1.
Valdés Morales Y, Viera Leal L, Betancourt López E. Pseudopapiledema secondary to drusen of the optic nerve. Case report. Acta Méd Centro [Internet]. 2021 Jan. 13 [cited 2025 Jul. 14];15(2):309-13. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/1367

Issue

Vol. 15 No. 2 (2021): April-June

Section

Case Reports

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