Permanent cerebral blindness after cardiac catheterization.
Cerebral blindness is usually a transient event that can complicate cardiac catheterization. The neurologic deficit clears in 1-3 days. We present a patient who developed permanent cerebral blindness after undergoing transfemoral cardiac catheterization. Bilateral hemorrhagic occipitotemporal infarcts were demonstrated on magnetic resonance imaging (MRI). The patient also demonstrated denial of blindness and had transient memory disturbances due to occipitotemporal lobe infarct. The probable source of the emboli was cardiac.
Thomas
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TD
Department of Neurology, Bowman-Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27107.
Troost
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BT
D000368:Aged; D001766:Blindness / Q000209:etiology*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002543:Cerebral Hemorrhage / Q000209:etiology; D002544:Cerebral Infarction / Q000209:etiology*; D003327:Coronary Disease / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019965:Neurocognitive Disorders / Q000209:etiology; D009778:Occipital Lobe / Q000098:blood supply*; D013702:Temporal Lobe / Q000098:blood supply*; D014057:Tomography, X-Ray Computed