DR. SANDHYA YADAV

DR.JYOTI BHUYAN, DR.BHARATI DEORI BORUAH, DR. CHANDANA KAKATI

Abstract

Objective: To report a case of Pseudofoster Kennedy syndrome and clinical approach toward its varied etiology.

Methods: A case of 50year old female with Hypertension and Type II DM presented with sudden,painless loss of vision in right eye with past history of optic atrophy in her left eye.Her visual acuity in right eye was 3/60 while in left eye was 1/60.Laboratory investigations revealed high ESR and CRP values.MRI brain showed chronic lacunar infarcts.Based on clinical diagnosis,patient was started with systemic corticosteroids which was later tapered off as temporal artery biopsy came negative.

Treatment: Patient was treated with antiplatelet drugs,antihypertensive medication with strict control of Diabetes.

Result: Resorption of peripapillary haemorrhage with mild improvement in right eye vision was noted.

Conclusion: Early diagnosis and management of associated systemic disease may contribute to improvement in visual acuity and prevent early neurological complications.