Transsynaptic neuronal degeneration of optic nerves associated with bilateral occipital lesions

A case is reported of a 9-year old male who presented with abnormal behaviour and progressive diminution of vision. Pupils were middilated in both eyes but the pupillary reflexes were preserved. Fundus examination revealed a bilateral optic atrophy and radiological investigations showed a bilateral...

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Bibliographic Details
Main Authors: Sachdev Mahipal, Kumar Harsh, Jain A, Goulatia R, Misra N
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 1990-01-01
Series:Indian Journal of Ophthalmology
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=1990;volume=38;issue=4;spage=151;epage=152;aulast=Sachdev
Description
Summary:A case is reported of a 9-year old male who presented with abnormal behaviour and progressive diminution of vision. Pupils were middilated in both eyes but the pupillary reflexes were preserved. Fundus examination revealed a bilateral optic atrophy and radiological investigations showed a bilateral occipital calcification. We hereby document a case of retrograde transsynaptic neuronal degeneration of the visual system secondary to bilateral occipital lesions. Transsynapptic neuronal degeneration of optic nerves consequent to occipital lobe lesions is a rare phenomenon. Experimentally occipital lobe ablation in non-human primates has been shown to result in optic atrophy. Herein, we document a case of retrograde transsynaptic neuronal degeneration of the visual system secondary to bilateral occipital lesions.
ISSN:0301-4738