Occipital lobe infarction following cardiac ablation.
A 60-year-old man presented with the chief complaint of seeing a blurred area just up and to the left of the center of his vision. The patient noted this visual field defect immediately after he awoke from a cardiac electrophysiologic study with a catheter ablation procedure. On neuro-ophthalmologic testing, a small scotoma was present superior and left of fixation in both eyes. MRI showed a small irregular area of abnormal signal in the right occipital lobe consistent with an ischemic lesion. To the best of our knowledge, this represents the first case report of a homonymous visual field defect secondary to an occipital lobe infarction following a cardiac catheter ablation procedure.
Mirza
Rukhsana G
RG
Department of Ophthalmology, Loyola University Medical Center, Maywood, Illinois 60153, USA. rumirza@lumc.edu
Biller
Jose
J
Jay
Walter M
WM
D001281:Atrial Fibrillation / Q000601:surgery; D017115:Catheter Ablation / Q000009:adverse effects*; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D006423:Hemianopsia / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009778:Occipital Lobe / Q000473:pathology*; D014794:Visual Fields