Subarachnoid hemorrhage following uneventful thyroid orbital decompression.
A 24-year-old woman developed subarachnoid hemorrhage and left frontal lobe ischemia following uneventful right transconjunctival orbital decompression for thyroid-related immune orbitopathy. CT, MRI, CT angiography, and carotid angiography confirmed subarachnoid hemorrhage and brain ischemia on the left side without any cerebral vascular abnormalities on either side. All tests were unremarkable. She fully recovered at last follow-up, 4 months after surgery. We did not find any reason for the subarachnoid hemorrhage and left frontal lobe ischemia. This complication should be considered after orbital surgery for patients with thyroid-related immune orbitopathy.
Oculoplastic Unit of Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. bahmanik@yahoo.com
Mohsen Bahmani
MB
Kashkouli
Mahmoud Reza
MR
Khalatbari
Khalil Ghasemi
KG
Falavarjani
Hossein
H
Ghaleanovi
Mostafa Soltan
MS
Sanjari
Behrooz
B
Zaman
D000328:Adult; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology; D002339:Carotid Arteries / Q000000981:diagnostic imaging; D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D005625:Frontal Lobe / Q000098:blood supply; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006801:Humans; D018810:Magnetic Resonance Angiography; D009915:Orbit / Q000601:surgery*; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed