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5 years boy presented in ER with B/L vision loss since 2 months. Any suggestions regarding management.

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B/l subdural hygroma without hydrocephalus . Secondary optic atrophy may be the cause. Rule out congenital infections, ongoing encephalitis, explain poor prognosis for vision. Take detailed h/o vision loss, If vision loss is recent b/l subduroperitoneal shunt can be done and patient may be lucky

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Bilateral Sub Dural hygromas probably hematoma also which could have caused Central herniation and PCA infarct And there is evidence of hydrocephalus Probable underlying causes has to be ruled out

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There is defect at the level of absorption of CSF at arachnoid granulations leading to CSF bilateral subdural effusion and hydrocephalus .Optic atrophy and papilloedema are known complication of hydrocephalus. Best option in this case is a ventriculo - peritoneal shunt. Vision may or may not be restored .If optic atrophy is complete then chances are less but if mild atrophy or only papilloedema child may be lucky

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Subdural hygroma bilateral with hydrocephalus.Needs ophthalmological opinion .Mri brain .Neurosurgical opinion

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

B/l subdural hygroma without hydrocephalus . Secondary optic atrophy may be the cause. Rule out congenital infections, ongoing encephalitis, explain poor prognosis for vision. Take detailed h/o vision loss, If vision loss is recent b/l subduroperitoneal shunt can be done and patient may be lucky

Also rule out if somebody give too much dehydrants. VEPs can be done for Cortical blindness
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central retinal vein occlusion optic atrophy are dds

More detailed history please.... Any other associated complaints? Trauma hydrocephalus sudden losses or gradual loss .......

No trauma sir
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Is he developmentally normal so far or is he regressing? Seizures? Cerebral atrophy is evident globally,as also HYDROCEPHALUS.

GRADUAL LOSS OF VISION OVER A PERIOD OF TWO MONTHS IS INDICATIVE OF A SIOW GRDWING RETROBULBAR PATHOLOGY POSSIBLELY A GROWTH TUMOUR PT. NEEDS FURTHER EVALUATION BY A NEUROSURGEON ,OPTHALMIC SURGEON

May be cortical blindness. Rare complication of hydrocephalus

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