Sudden Vision Loss Caused by Cervical Spinal Spurs
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2014/05/21 04:13
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Lin Xinyi/Taichung Report | China Times Electronic News May 21, 2014
A woman surnamed Guo from Taichung City had suffered from shoulder and neck pain for over a decade. About six months ago, her vision suddenly became blurry. She sought treatment at numerous hospitals in central Taiwan and spent hundreds of thousands of dollars on tests, but no cause was found. Thinking she might never see again, she recently visited Lin Shin Hospital, where she learned it was due to bone spurs compressing her cervical spinal cord. After surgery, she finally regained her sight.
The 50-year-old Guo said she had endured shoulder and neck pain and numbness in her left hand for years, always attributing it to household chores. She relied on pain-relief patches or massages to alleviate the discomfort.
Half a year ago, she suddenly experienced blurred vision. Within a week, her eyesight deteriorated to 0.2 and 0.1. After visiting an ophthalmologist, she was diagnosed with retinal edema of unknown cause.
To save her vision, Guo underwent steroid treatment and visited nearly 20 hospitals in central Taiwan, spending about NT$300,000 on tests, yet the cause remained elusive. The medication also caused side effects like facial swelling, stomach pain, and mental agitation, leading her to fear the worst—blindness.
"Give myself one last chance!" Following a friend's suggestion, Guo sought treatment at Lin Shin Hospital. An MRI revealed that bone spurs in her cervical vertebrae (C4, C5, and C6) were compressing her spinal cord, disrupting the sympathetic nerves controlling eye circulation and nearly causing blindness.
Neurosurgeon Shao Guoning explained that bone spur compression typically causes pain and numbness, but cases affecting vision like Guo's are rare. She underwent an "anterior cervical fusion surgery," where the compressed area was expanded, the bone spurs removed, and a vertebral cage fixed with titanium screws. She didn’t need a neck brace post-surgery, and her vision improved to 0.9 and 0.6 the next day, allowing her to be discharged.
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