Anterior Ischemic Optic Neuropathy After Combined Ophthalmic Artery Embolization and Craniofacial Surgery : Case Report

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概要

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• A 57-year-old man developed visual loss following craniofacial surgery for an inflammatory ethmoidal sinus mass. Surgery was preceded by endovascular occlusion of the ophthalmic artery distal to central retinal artery (CRA). Routine angiography obtained immediately after endovascular ophthalmic artery occlusion showed patency of the CRA. He complained of visual loss one day after craniofacial surgery (2 days after embolization). Repeat emergency angiograPhy confirmed the patent CRA. Ophthalmic examination and fluorescein angiography showed that the visual loss was due to anterior ischemic optic neuropathy (AION). Preservation of the CRA is critical during ophthalmic artery embolization to avoid visual complications. Neurosurgeons should be aware of the possibility of AION as a complication of ophthalmic artery embolization.

• 2001-08-15

著者

• JAMOUS Mohammad

  Departments of Neurological Surgery

• SATOH Koichi

  Departments of Neurological Surgery

• KAGEJI Teruyoshi

  Departments of Neurological Surgery

• SATOMI Junichiro

  Departments of Neurological Surgery

• MATSUBARA Shunji

  Departments of Neurological Surgery

• NAGAHIRO Shinji

  Departments of Neurological Surgery

• HAYASHI Masakazu

  Ophthalmology

• NAKAGAWA Shinichi

  Otorhinolaryngology, School of Medicine, The University of Tokushima

• Nagahiro Shinji

  Department Of Neurosurgery Institute Of Health Biosciences The University Of Tokushima Graduate Scho

• Nagahiro Shinji

  Department Of Neurosurgery School Of Medicine The University Of Tokushima Tokushima

• Nagahiro Shinji

  Departments Of Neurological Surgery The University Of Tokushima

• Kageji Teruyoshi

  Department Of Neurosurgery Institute Of Health Biosciences The University Of Tokushima Graduate Scho

• Jamous Mohammad

  Department Of Neurosurgery School Of Medicine The University Of Tokushima

• Nagahiro Shinji

  Department Of Neurosurgery Institute Of Health Biosciences The University Of Tokushima Graduate Scho

• Satomi Junichiro

  Department Of Neurosurgery School Of Medicine The University Of Tokushima Tokushima

• Matsubara Shunji

  Department Of Neurosurgery School Of Medicine Institute Of Health Biosciences The University Of Toku

• Satoh Koichi

  Department Of Neurosurgery School Of Medicine The University Of Tokushima Tokushima

• Satoh Koichi

  Department Of Forensic Medicine Juntendo University School Of Medicine

• Matsubara Shunji

  Department Of Neurosurgery Kawasaki Medical School

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