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Typical migraine or ophthalmologic emergency?.

MedStar author(s):

Citation: American Journal of Emergency Medicine. 30(5):831.e3-5, 2012 Jun.PMID: 21514762Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Glaucoma, Angle-Closure/di [Diagnosis] | *Migraine Disorders/di [Diagnosis] | Emergency Service, Hospital | Female | Fructose/aa [Analogs & Derivatives] | Fructose/ae [Adverse Effects] | Fructose/tu [Therapeutic Use] | Glaucoma, Angle-Closure/ci [Chemically Induced] | Humans | Intraocular Pressure/de [Drug Effects] | Middle Aged | Migraine Disorders/dt [Drug Therapy] | Neuroprotective Agents/ae [Adverse Effects] | Neuroprotective Agents/tu [Therapeutic Use]Year: 2012 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:

0735-6757

Name of journal: The American journal of emergency medicineAbstract: We describe the case of a 47-year-old woman who came to the emergency department (ED) complaining of worse than typical migraine headache and blurry vision after recently doubling the dose of topiramate earlier that day. After complete neurologic and ophthalmologic evaluation, she was found to have elevated intraocular pressures and was diagnosed with topiramate-induced bilateral acute angleclosure glaucoma, which is a rare side effect of this commonly prescribed medication. She was treated with timolol, brimonide, and prednisolone drops to reduce intraocular pressure as well as cessation of topiramate and was discharged home. This report briefly discusses the clinical history, appropriate evaluation, differential diagnosis, and approach to secondary acute angle-closure glaucoma in the ED.All authors: Rosenbaum T, Ybarra MFiscal year: FY2012Digital Object Identifier:

http://dx.doi.org/10.1016/j.ajem.2011.02.022

Date added to catalog: 2013-09-17

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	21514762	Available		21514762

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

We describe the case of a 47-year-old woman who came to the emergency department (ED) complaining of worse than typical migraine headache and blurry vision after recently doubling the dose of topiramate earlier that day. After complete neurologic and ophthalmologic evaluation, she was found to have elevated intraocular pressures and was diagnosed with topiramate-induced bilateral acute angleclosure glaucoma, which is a rare side effect of this commonly prescribed medication. She was treated with timolol, brimonide, and prednisolone drops to reduce intraocular pressure as well as cessation of topiramate and was discharged home. This report briefly discusses the clinical history, appropriate evaluation, differential diagnosis, and approach to secondary acute angle-closure glaucoma in the ED.

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