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September 1976

Unilateral Proptosis and Visual Field Defect Associated With Hydrocephalus

Author Affiliations

Department of Neurological Surgery Albert Einstein College of Medicine Bronx, NY 10461

Arch Neurol. 1976;33(9):663-664. doi:10.1001/archneur.1976.00500090069020

Patients with hydrocephalus may have ophthalmologic signs, including visual field defects. Proptosis has been reported rarely to result from hydrocephalus. The subject of the following clinical note had unilateral proptosis and visual field defects associated with aqueductal stenosis.

Report of a Case.—  Four years prior to admission, this 46-year-old woman sustained blunt trauma to the forehead. Subsequently, she lost vision in the right eye. Several months prior to admission, bifrontal headaches and urinary incontinence occurred. Proptosis and chemosis of the right eye developed over five days, prompting admission to the hospital. There were no symptoms of endocrine dysfunction.Pertinent findings on physical examination included dementia, severe proptosis, chemosis, ophthalmoplegia, and amaurosis of the right eye. Vision in the left eye was 20/100, with a superior temporal quadrantanopsia. Funduscopic examination of the right eye showed optic atrophy, with sharp disk margins and no venous engorgement. The left fundus was normal.Skull

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