Back to Search
Start Over
Severe visual loss and cerebral infarction after injection of hyaluronic acid gel.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2014; Vol. 25 (2), pp. 684-6. - Publication Year :
- 2014
-
Abstract
- We report a case of a 23-year-old man with cerebral infarction and permanent visual loss after injection of a hyaluronic acid gel filler for augmentation rhinoplasty. The patient was admitted to the hospital with complaints of loss of vision in the right eye, facial paralysis on the right side, and paralysis of the left limbs with severe pain during augmentation rhinoplasty with filler injection. Brain magnetic resonance imaging and computed tomography showed ophthalmic artery obstruction and right middle cerebral artery infarction. Acute thrombolysis was performed to treat the infarction; however, the patient's condition did not improve. Intracerebral hemorrhage in the right temporal/frontal/occipital/parietal lobe, subarachnoid hemorrhage, and midline shifting were observed on brain computed tomography after 24 hours after thrombolysis. Emergency decompressive craniectomy was performed. After the surgery, the patient continued to experience drowsiness, with no improvement in visual loss and motor weakness. Three months later, he could walk with cane. This case indicates that surgeons who administer filler injections should be familiar with the possibility of accidental intravascular injection and should explain the adverse effects of fillers to patients before surgery.
- Subjects :
- Blindness drug therapy
Cerebral Hemorrhage chemically induced
Gels
Humans
Iatrogenic Disease
Infarction, Middle Cerebral Artery drug therapy
Injections adverse effects
Magnetic Resonance Imaging
Male
Optic Neuropathy, Ischemic drug therapy
Reoperation
Subarachnoid Hemorrhage chemically induced
Thrombolytic Therapy adverse effects
Tomography, X-Ray Computed
Blindness chemically induced
Hyaluronic Acid adverse effects
Infarction, Middle Cerebral Artery chemically induced
Ophthalmic Artery drug effects
Optic Neuropathy, Ischemic chemically induced
Rhinoplasty adverse effects
Rhinoplasty methods
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 25
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 24621723
- Full Text :
- https://doi.org/10.1097/SCS.0000000000000537