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Case Report

Spinal cord infarction associated to retinal vein occlusion in a patient with chronic kidney disease

1
Ophthalmology Department, Centre hospitalier Argenteuil, Paris, France
2
Neurology Department, Centre hospitalier Argenteuil, Paris, France
3
Nephrology Department, Centre hospitalier Argenteuil, Paris, France
4
Physical Medicine and Rehabilitation Department, Centre hospitalier Argenteuil, Paris, France
*
Author to whom correspondence should be addressed.
Neurol. Int. 2020, 12(2), 8558; https://doi.org/10.4081/ni.2020.8558
Submission received: 28 March 2020 / Accepted: 12 August 2020 / Published: 1 September 2020

Abstract

A 70-year-old man presented to the emergency department with blood hypotension associated to a sudden paraplegia and thermalgesic analgesia. He had an history of colic and prostatic adenocarcinoma, hypertension and non-dialyzed Chronic Kidney Disease (CKD) related to an idiopathic membranous glomerulonephritis type 1 discovered 9 years ago. Magnetic resonance imaging confirmed a diagnosis of Spinal Cord Infarction (SCI). Few months later, he presented a blurred vision due to central Retinal Vein Occlusion (RVO), which was improved by Anti-VEGF therapy. This is the first reported case of a concomitance of retinal vascular event and SCI highlights the links between the central nervous system and retinal vascularization despite separate involvement of the two events in the arterial and venous systems. Additionally, CKD worsened the risk of cardiovascular incidents by induced oxidative stress, thrombophilia, chronic inflammation, and endothelial dysfunction. SCI occurrence indicates severe vascular dysfunction and elevates the risk of additional vascular disorders.
Keywords: Spinal cord infarction; retinal vein occlusion; chronic kidney failure; stroke; Magnetic resonance imaging Spinal cord infarction; retinal vein occlusion; chronic kidney failure; stroke; Magnetic resonance imaging

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MDPI and ACS Style

Ghezzaz, A.; Cristea, C.; Ferradji, A.; Aboubekr, E.H.; Bouhanna-Hamitouche, L.; Chahed, S.; Mahdjoubi, A. Spinal cord infarction associated to retinal vein occlusion in a patient with chronic kidney disease. Neurol. Int. 2020, 12, 8558. https://doi.org/10.4081/ni.2020.8558

AMA Style

Ghezzaz A, Cristea C, Ferradji A, Aboubekr EH, Bouhanna-Hamitouche L, Chahed S, Mahdjoubi A. Spinal cord infarction associated to retinal vein occlusion in a patient with chronic kidney disease. Neurology International. 2020; 12(2):8558. https://doi.org/10.4081/ni.2020.8558

Chicago/Turabian Style

Ghezzaz, Amina, Cristina Cristea, Amel Ferradji, El Habib Aboubekr, Lynda Bouhanna-Hamitouche, Sadri Chahed, and Amir Mahdjoubi. 2020. "Spinal cord infarction associated to retinal vein occlusion in a patient with chronic kidney disease" Neurology International 12, no. 2: 8558. https://doi.org/10.4081/ni.2020.8558

APA Style

Ghezzaz, A., Cristea, C., Ferradji, A., Aboubekr, E. H., Bouhanna-Hamitouche, L., Chahed, S., & Mahdjoubi, A. (2020). Spinal cord infarction associated to retinal vein occlusion in a patient with chronic kidney disease. Neurology International, 12(2), 8558. https://doi.org/10.4081/ni.2020.8558

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