Bitemporal hemianopsia secondary to ischemic chiasmopathy following mechanical thrombectomy.
Bitemporal hemianopsia
Clot retrieval
Ischemic stroke
Optic chiasm
Stent
Thrombectomy
Journal
American journal of ophthalmology case reports
ISSN: 2451-9936
Titre abrégé: Am J Ophthalmol Case Rep
Pays: United States
ID NLM: 101679941
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
08
04
2021
revised:
12
07
2021
accepted:
08
08
2021
entrez:
30
8
2021
pubmed:
31
8
2021
medline:
31
8
2021
Statut:
epublish
Résumé
To report a case of bitemporal hemianopsia due to ischemic chiasmopathy after mechanical thrombectomy of a right distal internal carotid artery (ICA) occlusion. A 60-year-old female presented with left sided weakness and difficulty speaking and was found to have suffered a right internal carotid artery occlusion 10 days after tricuspid valve replacement for severe symptomatic tricuspid valve disease. She underwent mechanical thrombectomy and in hospital and at further follow ups was noted to have a bitemporal hemianopsia, consistent with an ischemic optic chiasmopathy. The optic chiasm is vascularized by multiple arteries of the Circle of Willis. As such, ischemic optic chiasmopathy is rare. Clinicians should consider ischemic chiasmopathy following cardiac and other surgical procedures including mechanical thrombectomy of the ICA or its branches.
Identifiants
pubmed: 34458646
doi: 10.1016/j.ajoc.2021.101191
pii: S2451-9936(21)00200-0
pmc: PMC8379665
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101191Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
None.
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