0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Letters |

Episodic Monocular Vision Loss After Implantation of a Vagal Nerve Stimulator

Leo Sheck, MBChB; and Helen Danesh Meyer, MD, MBChB, FRANZCO
[+] Article and Author Information

From University of Auckland, Auckland 1142, New Zealand.


Potential Conflicts of Interest: None disclosed.


Ann Intern Med. 2011;155(9):648-649. doi:10.7326/0003-4819-155-9-201111010-00022
Text Size: A A A

Figures

Grahic Jump Location
Figure.
Computed tomography angiogram of the carotids.

The image shows the close proximity of the vagal nerve stimulator electrode with the left common carotid artery.

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Further data after 6 month follow up of the reported patient
Posted on November 24, 2011
Leo, Sheck, ocular genetics fellow, Helen Danesh-Meyer
University of Auckland
Conflict of Interest: None Declared

It was more than six months between our last consultation with this patient and the publication of our case report. We would like to provide follow-up information. The vagal nerve stimulator has remained on and she had no further episodes of left monocular vision loss. It has also transpired that at the time of her visual loss episodes, there was a death in her school and she had been under considerable stress. Although left carotid vasospasm is a physiologically and clinically plausible diagnosis for her symptoms, it is possible that her symptoms were functional in nature. We want to emphasize that the vagal nerve stimulator is likely to be a safe and effective treatment for the majority of patients suffering from intractable seizures.

Conflict of Interest:

None declared

Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)