Temporary postoperative visual loss associated with intracerebral hemorrhage after laparoscopic appendectomy: a case report.
10.4097/kjae.2014.67.3.221
- Author:
Hyo Jin SONG
1
;
Jong Hun JUN
;
Dong Guk CHA
;
Young Sun LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Hanyang University College of Medicine, Seoul, Korea. jhjun@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Complications;
Laparoscopic appendectomy;
Postoperative visual loss
- MeSH:
Adult;
Appendectomy*;
Blood Pressure;
Brain;
Cerebral Hemorrhage*;
Female;
Headache;
Hemianopsia;
Humans;
Incidence;
Magnetic Resonance Imaging;
Nausea;
Neurologic Examination;
Optic Neuropathy, Ischemic;
Perioperative Period;
Spine;
Subarachnoid Hemorrhage
- From:Korean Journal of Anesthesiology
2014;67(3):221-224
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postoperative visual loss (POVL) after non-ophthalmic surgery is rare, with a reported incidence ranging from 0.013 to 0.2%. Most perioperative visual loss is associated with spine operations and cardiac bypass procedures. The most common cause of POVL is ischemic optic neuropathy. However, there are no previous reports of postoperative visual loss after laparoscopic appendectomy. A 43-year-old female with no underlying disease underwent laparoscopic appendectomy; the operation was completed in one hour and her blood pressure was stable during the perioperative period. In the post-anesthetic care unit, the patient complained of nausea and headache, but she did not complain of any unusual visual symptoms. Approximately one hour after arriving at the ward, the patient complained of visual disturbance. Neurologic examination revealed left homonymous hemianopsia, and subarachnoid hemorrhage and intracerebral hemorrhage were found in the occipital area on brain MRI.
