Orbital Infarction Syndrome after Surgery for Ruptured Anterior Communicating Artery Aneurysm: Case Reports.
- Author:
Hyeong Ki SHIM
1
;
Won Il JOO
;
Hae Kwan PARK
;
Keyong Jin LEE
;
Hyoung Kyun RHA
;
Young Woo KIM
Author Information
1. Department of Neurosurgery, St. Mary's Hospital, The Catholic University of Korea, Korea. nsman@chol.com
- Publication Type:Case Report
- Keywords:
Orbital infarction syndrome;
Anterior communicating artery aneurysm
- MeSH:
Aneurysm;
Blindness;
Choroid;
Craniotomy;
Exophthalmos;
Humans;
Infarction*;
Intracranial Aneurysm*;
Neurosurgical Procedures;
Ophthalmic Artery;
Ophthalmoplegia;
Orbit*;
Retinaldehyde
- From:Korean Journal of Cerebrovascular Surgery
2006;8(3):206-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
Orbital infarction syndrome is a rare complication of neurosurgical procedures. The authors recently experienced two patients suffered from acute proptosis, ophthalmoplegia, and blindness developed immediately after surgery for ruptured anterior communicating artery aneurysms. Both patients underwent standard frontotemporal craniotomies to clip their aneurysms. Retinal and choroidal nonperfusion, and ophthalmoplegia, which suggested hypoperfusion of the ophthalmic artery and its branches, consistent with the orbital infarction. We report two cases of orbital infarction syndrome and discuss possible mechanism with literature review.
