Document Detail

Visual loss and central venous catheterization: cortical blindness and hemianopsia after inadvertent subclavian artery entry.
MedLine Citation:
PMID:  10770505     Owner:  NLM     Status:  MEDLINE    
A case of presumed embolic transient ischemic episodes and multifocal infarcts to the occipital and parietal cortices and the cerebellum of a young woman with ulcerative colitis is reported. These episodes were manifested by multifocal neurologic deficits including cortical blindness, visual hallucinations, and homonymous hemianopsia. They correlated with parenteral nutrition via a central line, presumed venous, but found to be in the subclavian artery. The complications of central venous lines are reviewed. The need for attention to neighborhood structures and unexpected symptoms, in view of the less well-recognized arterial embolic complications is emphasized.
R C Wang; S E Katz; M Lubow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  20     ISSN:  1070-8022     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-05-15     Completed Date:  2000-05-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  32-4     Citation Subset:  IM    
William H. Havener Eye Center, The Ohio State University, Columbus, USA.
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MeSH Terms
Blindness, Cortical / etiology*
Catheterization, Central Venous / adverse effects*
Colitis, Ulcerative / complications
Hallucinations / etiology
Hemianopsia / etiology*
Magnetic Resonance Imaging
Parenteral Nutrition
Subclavian Artery* / ultrasonography
Visual Acuity
Visual Fields

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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