| Purtscher-like retinopathy and Horner's syndrome following coil embolization of an intracavernous carotid artery aneurysm. | |
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MedLine Citation:
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PMID: 15133679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Coil embolization is a non-invasive method for treating intracranial vascular malformations by inducing thrombus formation. It is particularly useful in management of cerebral aneurysms and avoids the risks associated with surgical clipping. Occasionally, embolic complications occur which result in transient or permanent loss of vision. METHODS: Case report of a 29-year-old Caucasian woman who underwent coil embolization and balloon occlusion of an intracavernous carotid aneurysm. Shortly thereafter she described visual changes and a droopy eyelid. RESULTS: Examination revealed pupillary miosis and mild ptosis of the right upper lid. Perimetry showed an arcuate scotoma superiorly and an inferonasal step in the right eye. Fundus examination revealed multiple cotton-wool spots along the peripapillary area and along the temporal vascular arcades reminiscent of Purtscher retinopathy. After 4 weeks, she had marked improvement in her visual symptoms. Most of the cotton-wool spots had resolved and the visual field had normalized. However, the ptosis and anisocoria remained unchanged. CONCLUSIONS: Coil embolization is a non-invasive method for treating carotid aneurysms. However, it carries the risk of ophthalmic events, warranting baseline ophthalmic examinations prior to such intervention. |
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Authors:
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Bienvenido V Castillo; Ahsan M Khan; Richard Gieser; Harish Shownkeen |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2004-05-06 |
Journal Detail:
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Title: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie Volume: 243 ISSN: 0721-832X ISO Abbreviation: Graefes Arch. Clin. Exp. Ophthalmol. Publication Date: 2005 Jan |
Date Detail:
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Created Date: 2005-01-20 Completed Date: 2005-04-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8205248 Medline TA: Graefes Arch Clin Exp Ophthalmol Country: Germany |
Other Details:
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Languages: eng Pagination: 60-2 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. bcastil@lumc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Balloon Dilatation Carotid Artery Diseases / radiography, therapy* Carotid Artery, Internal* Cavernous Sinus Embolization, Therapeutic / adverse effects* Female Horner Syndrome / etiology* Humans Intracranial Aneurysm / radiography, therapy* Retinal Diseases / etiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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