Document Detail


Purtscher-like retinopathy and Horner's syndrome following coil embolization of an intracavernous carotid artery aneurysm.
MedLine Citation:
PMID:  15133679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Bienvenido V Castillo; Ahsan M Khan; Richard Gieser; Harish Shownkeen
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-05-06
Journal Detail:
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:
Created Date:  2005-01-20     Completed Date:  2005-04-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  60-2     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA. bcastil@lumc.edu
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MeSH Terms
Descriptor/Qualifier:
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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