Sudden visual loss due to posterior ischemic optic neuropathy following craniotomy for a ruptured intracranial aneurysm.
The authors report a rare case of acute ipsilateral blindness that occurred after a standard fronto-temporal craniotomy for aneurysm in supine position. Posterior ischemic optic neuropathy caused by external pressure on the ipsilateral eye, its differentials and subsequent medico-legal implications are discussed.
Choudhari
Kishor A
KA
Department of Neurosurgery, Royal Victoria Hospital, Regional Neurosciences Unit, Belfast BT12 6BA, United Kingdom. kchoudhari@hotmail.com
Pherwani
Anupama A
AA
D017542:Aneurysm, Ruptured / Q000601:surgery*; D001766:Blindness / Q000209:etiology*; D003399:Craniotomy / Q000009:adverse effects*; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018917:Optic Neuropathy, Ischemic / Q000150:complications* / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*