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Amaurosis fugaz - Treatment

Nombres alternativos

Ceguera monocular transitoria

Tratamiento:

El tratamiento de la amaurosis fugaz depende de la gravedad de la obstrucción en la arteria carótida y su objetivo es prevenir un accidente cerebrovascular.

El médico puede recomendar:

  • No hacer ningún tratamiento. Se pueden necesitar sólo chequeos regulares para revisar la salud de la arteria carótida.
  • Cambios en la alimentación y medicación para ayudar a bajar el colesterol y controlar la presión arterial.
  • Ácido acetilsalicílico (aspirin), warfarina (Coumadin) u otros anticoagulantes para disminuir el riesgo de un accidente cerebrovascular.

Si una gran parte de la arteria carótida aparece bloqueada, se realiza una cirugía para eliminar la obstrucción. La decisión de practicar la cirugía también se basa en su salud general. Ver: endarterectomía carotídea.

Expectativas (pronóstico):

La amaurosis fugaz en sí misma por lo general no ocasiona discapacidad permanente. Sin embargo, significa que usted tiene ateroesclerosis y un mayor riesgo de sufrir un accidente cerebrovascular.

Situaciones que requieren asistencia médica:

Consulte con el médico si se presenta cualquier tipo de pérdida de la visión. Si los síntomas persisten más de unos pocos minutos o si la pérdida de la visión está acompañada de otros síntomas, es importante buscar atención médica inmediata.

  • Reviewed last on: 10/4/2010
  • Daniel Kantor, MD, Medical Director of Neurologique, Ponte Vedra, FL and President of the Florida Society of Neurology (FSN). Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.

Goldstein LB. Prevention and management of stroke. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 58.

Adams RJ, Albers G, Alberts MJ, Benavente O, Furie K, Goldstein LB, et al. Update to the AHA/ASA recommendations for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke. 2008 May;39(5):1647-52. Epub 2008 Mar 5.

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