Bilateral lateral geniculitis associated with severe diarrhea

D. S. Greenfield, R. M. Siatkowski, N. J. Schatz, J. S. Glaser

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


PURPOSE: We examined a 28-year-old woman who developed incongruous binasal and bitemporal visual field defects one week after having a febrile gastroenteritis characterized by severe diarrhea while traveling in Mexico. METHODS: The patient was treated with intravenous methylprednisolone sodium succinate, 1 g daily for three days, followed by an eight-week course of oral prednisone. RESULTS: Neuroradiologic examination demonstrated bilaterally increased signal intensity within the lateral geniculate bodies. Cerebrospinal fluid analysis disclosed isolated protein increase. CONCLUSION: Severe diarrhea may be associated with an aseptic bilateral lateral geniculitis resulting in hourglass-shaped visual fields. Corticosteroid therapy may provide mild improvement.

Original languageEnglish (US)
Pages (from-to)280-281
Number of pages2
JournalAmerican journal of ophthalmology
Issue number2
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Ophthalmology


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