Abstract:
Purpose: To analyze clinical manifestations of visual function abnormalities in
Arnold-Chiari syndrome.
Material and Methods: Two patients with Arnold-Chiari syndrome (ACS) were
under our observation at SI “The Filatov Institute of Eye Diseases and Tissue
Therapy of the National Academy of Medical Sciences of Ukraine” and Eye
Microsurgery Center, Multipurpose Medical Center, Odesa National Medical
University. They underwent general clinical eye examinations.
Results: We reviewed the cases of two patients with ACS. Major manifestations
of the disease and the potential for treatment for preserving visual functions
were determined.
Conclusion: Taking a comprehensive approach to medical issues (especially
those related to comorbid conditions) was always important. There are several
ophthalmological issues that require consultations with neuropathologists
and neurosurgeons for making a correct diagnosis and starting a subsequent
treatment early. The cases presented showed that possible ACS manifestations
may include e.g., strabismus and papilledema. Knowing these manifestations is a
prerequisite for solving the diagnostic and treatment issues of the disease. There
is no specific pathognomonic clinical sign or group of symptoms for the clinical
diagnosis of ACS, and the disease can be diagnosed only by neuroimaging. Early
identification of these ocular abnormalities allows suspecting and detecting this
malformation early. Comprehensive treatment over many years can stabilize
visual functions in patients with ACS
