Acute Vision Loss After Ophthalmic Artery Embolization of Meningioma

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Title Acute Vision Loss After Ophthalmic Artery Embolization of Meningioma
Creator Guadalupe Torres; Ashwini T. Kini; Bayan Al Othman; Andrew G. Lee
Affiliation Baylor College of Medicine (GT), Houston, Texas; Department of Ophthalmology (ATK, BAO, AGL), Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; The Houston Methodist Research Institute (AGL), Houston Methodist Hospital, Houston, Texas; Departments of Ophthalmology (AGL), Neurology, and Neurosurgery, Weill Cornell Medicine, New York, New York; Department of Ophthalmology (AGL), University of Texas Medical Branch, Galveston, Texas; University of Texas MD Anderson Cancer Center (AGL), Houston, Texas; Texas A and M College of Medicine (AGL), Bryan, Texas; and Department of Ophthalmology (AGL), The University of Iowa Hospitals and Clinics, Iowa City, Iowa
Abstract A 40-year-old man presented with acute-onset painless visual loss after preoperative embolization for a large skull base meningioma through the ophthalmic artery. We describe the clinical presentation of an isolated ipsilateral afferent and efferent pupillary defect in this patient who had radiographic documentation of embolization material in the intraorbital ophthalmic artery. Although ophthalmic and retinal artery occlusions have been described previously after endovascular embolization, our patient had a unique clinicoradiologic presentation.
Subject Acute Disease; Adult; Blindness / diagnosis; Blindness / etiology; Embolization, Therapeutic / adverse effects; Humans; Male; Meningeal Neoplasms / pathology; Meningeal Neoplasms / therapy; Meningioma / pathology; Meningioma / therapy; Ophthalmic Artery / pathology; Skull Base Neoplasms / pathology; Skull Base Neoplasms / therapy; Tomography, X-Ray Computed; Visual Acuity
OCR Text Show
Date 2019-12
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, December 2019, Volume 39, Issue 4
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6zs8nj6
Setname ehsl_novel_jno
ID 1645532
Reference URL https://collections.lib.utah.edu/ark:/87278/s6zs8nj6
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