RT Book, Section
A1 Brust, John C. M. 
SR Print(0)
ID 1180669537
T1 Mostly Visual
T2 Practice of Neural Science: A Case-Based Approach
YR 1
FD 1
PB 
PP New York, NY
SN 9781264258956
LK neurology.mhmedical.com/content.aspx?aid=1180669537
RD 2024/04/20
AB For  the  past  6  weeks,  a  52-year-old  man  has  been  having  spells  of  transient  monocular  visual  loss.  Every  few  days,  it  seems  as  if  a  curtain  descends  over  his  right  eye,  with  total  loss  of  vision  for  several  minutes.  He  has  verified  that  only  the  right  eye  is  affected  by  covering  first  one  eye  and  then  the  other  during  the  attacks.  Within  an  hour  of  a  typical  episode,  examination  reveals  a  small  yellowish  refractile  body  at  a  bifurcation  of  an  inferior  retinal  arteriole,  obstructing  distal  flow.  A  soft,  high-pitched,  continuous,  systolic  murmur  extending  into  diastole  is  present  over  the  right  anterior  neck  at  the  level  of  the  thyroid  cartilage.  Physical  and  neurological  examinations  are  otherwise  normal.