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Internuclear Ophthalmoplegia After Coronary Artery Catheterization and Percutaneous Transluminal Coronary Balloon Angioplasty
- Source :
- Journal of Neuro-Ophthalmology. 20:123-126
- Publication Year :
- 2000
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2000.
-
Abstract
- A retrospective chart review was performed for identification of patients with isolated internuclear ophthalmoplegia (INO) postcardiac catheterization from two neuro-ophthalmology units. Of the 110 patients with a diagnosis of INO who were evaluated during the observation period, five patients (4.5%) demonstrated relatively isolated INO occurring in the perioperative period of a cardiac endovascular procedure. These five patients underwent diagnostic catheterization alone (three patients), balloon angioplasty (one patient), or stent placement (one patient). All patients improved, with resolution of diplopia in primary position after a mean period of 82 days. The occurrence of INO in the postcardiac catheterization setting is not uncommon, and it appears to be related to dorsal pontine ischemia. The pontomesencephalic medial longitudinal fasciculus is supplied by small-caliber perforating end-arteries from the basilar trunk, which increases selective vulnerability of this area. Cardiac catheterization may precipitate microemboli involving these vessels, leading to internuclear ophthalmoplegia.
- Subjects :
- Male
Cardiac Catheterization
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Internuclear ophthalmoplegia
Coronary Disease
Balloon
Angioplasty
Humans
Medicine
Angioplasty, Balloon, Coronary
Aged
Retrospective Studies
Cardiac catheterization
Diplopia
Ophthalmoplegia
business.industry
Brain
Perioperative
Middle Aged
medicine.disease
Coronary Vessels
Magnetic Resonance Imaging
eye diseases
Diagnostic catheterization
Surgery
Ophthalmology
Female
Neurology (clinical)
medicine.symptom
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 10708022
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- Journal of Neuro-Ophthalmology
- Accession number :
- edsair.doi.dedup.....1aba0748bacdccd4f7cc75a6aa0127b6