Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations

Transient ischemic attack (TIA) is a transient neurological deficit of cerebrovascular origin without infarction which may last only for a short period and can have varying presentations. We report a case of 58-year-old male with presenting features of sudden onset transient vertical diplopia and tr...

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Main Authors: Sparshi Jain, Tishu Saxena, Sweta Singh, Nidhi Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Oman Journal of Ophthalmology
Subjects:
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=2;spage=113;epage=115;aulast=Jain
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author Sparshi Jain
Tishu Saxena
Sweta Singh
Nidhi Singh
author_facet Sparshi Jain
Tishu Saxena
Sweta Singh
Nidhi Singh
author_sort Sparshi Jain
collection DOAJ
description Transient ischemic attack (TIA) is a transient neurological deficit of cerebrovascular origin without infarction which may last only for a short period and can have varying presentations. We report a case of 58-year-old male with presenting features of sudden onset transient vertical diplopia and transient rotatory nystagmus which self-resolved within 12 h. Patient had no history of any systemic illness. On investigating, hematological investigations and neuroimaging could not explain these sudden and transient findings. A TIA could possibly explain these sudden and transient ocular findings in our patient. This case report aims to highlight the importance of TIA for ophthalmologists. We must not ignore these findings as these could be warning signs of an impending stroke which may or may not be detected on neuroimaging. Thus, early recognition, primary prevention strategies, and timely intervention are needed.
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spelling doaj.art-226aa1c9f83343fd9c6ccdaa2eb5376e2022-12-22T00:32:13ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2016-01-019211311510.4103/0974-620X.184532Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestationsSparshi JainTishu SaxenaSweta SinghNidhi SinghTransient ischemic attack (TIA) is a transient neurological deficit of cerebrovascular origin without infarction which may last only for a short period and can have varying presentations. We report a case of 58-year-old male with presenting features of sudden onset transient vertical diplopia and transient rotatory nystagmus which self-resolved within 12 h. Patient had no history of any systemic illness. On investigating, hematological investigations and neuroimaging could not explain these sudden and transient findings. A TIA could possibly explain these sudden and transient ocular findings in our patient. This case report aims to highlight the importance of TIA for ophthalmologists. We must not ignore these findings as these could be warning signs of an impending stroke which may or may not be detected on neuroimaging. Thus, early recognition, primary prevention strategies, and timely intervention are needed.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=2;spage=113;epage=115;aulast=JainStroketransient ischemic attacktransient nystagmustransient vertical diplopia
spellingShingle Sparshi Jain
Tishu Saxena
Sweta Singh
Nidhi Singh
Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
Oman Journal of Ophthalmology
Stroke
transient ischemic attack
transient nystagmus
transient vertical diplopia
title Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
title_full Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
title_fullStr Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
title_full_unstemmed Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
title_short Transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
title_sort transient ischemic attack presenting in an elderly patient with transient ophthalmic manifestations
topic Stroke
transient ischemic attack
transient nystagmus
transient vertical diplopia
url http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=2;spage=113;epage=115;aulast=Jain
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AT tishusaxena transientischemicattackpresentinginanelderlypatientwithtransientophthalmicmanifestations
AT swetasingh transientischemicattackpresentinginanelderlypatientwithtransientophthalmicmanifestations
AT nidhisingh transientischemicattackpresentinginanelderlypatientwithtransientophthalmicmanifestations