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Journal of the Korean Neurological Association 2005;23(5): 703-705.
만성 신부전증 환자에서 투석 중에 발생한 양측성 후방 허혈성 시신경병증 1예
전성호, 신동진 한동철 박현미 이영배 신원철
가천의과대학교 신경과학교실
Bilateral Posterior Ischemic Optic Neuropathy associated with Hemodialysis in a patient with Chronic Renal Failure
Seong-Ho Jeon
Department of Neurology, Ghil Medical Center, Gachon Medical school, Incheon, Korea
Bilateral posterior ischemic optic neuropathy (PION) has rarely been documented in chronic renal failure (CRF). A 78-year-old woman with CRF, who had undergone hemodialysis for 14 years, was admitted due to rapidly progressive visual loss. Her pupils were unreactive to light, but ocular motility and fundoscopic examinations were normal. A brain MRI with angiogram revealed no abnormality and a VEP showed no wave formation bilaterally. Intravenous corticosteroid therapy was conducted without improvement. We report a case of bilateral PION associated with CRF, presumably due to chronic hypotension and anemia occurring during hemodialysis. KeyWords:Optic neuropathy, Hemodialysis, Hypotension