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- W1994228211 abstract "Accepted 28 February 1996 A 27-year-old, right-handed, professional diver presented with a recent onset of periocular pain and blurring of vision in the left eye. Visual acuity was 6/36 in the left eye and 6/6 in the right eye. Examination of the anterior segment showed evidence of keratic precipitates and of an intense anterior chamber reaction. Dilatation of the pupil with cyclopentolate 1% and phenylepherine 10% revealed the appearance demonstrated in the figure. There appeared to be no involvement of the optic nerve. Three months earlier the patient was discovered wandering confusedly on the deck of his dive barge an hour or two after making a routine dive to a depth of 30 metres. For the previous 72 hours he had been off work because of an upper respiratory tract infection and headache. On examination the patient was drowsy and pyrexic. There was generalised hyper-reflexia with non-sustained clonus on the left side. The left plantar response was extensor. Kernig's sign was negative. Pupillary responses were sluggish but equal and fundoscopy revealed early blurring of both optic discs. Brain computed tomography (CT) demonstrated an ill-defined hypodensity in the right temporal region with effacement of the right lateral ventricle. Magnetic resonance imaging (MRI) showed hypodensity in both the right temporal and parietal lobes that enhanced with intravenous contrast and produced mass effect on the right lateral ventricle. Electroencephalography (EEG) showed marked generalised slowness, particularly in the right hemisphere, with focal secondarily generalised epileptic discharges. Following treatment, the patient's condition improved with resolution of lateralising neurological signs. There was, however, profound amnesia for recent events and a repeat MRI scan of brain four weeks later displayed atrophy of both temporal lobes." @default.
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- W1994228211 date "1997-05-01" @default.
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- W1994228211 title "Acute visual disturbance in a young adult" @default.
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- W1994228211 doi "https://doi.org/10.1136/pgmj.73.859.307" @default.
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