Saccadic Palsy after Cardiac Surgery: Serial Neuroimaging Findings during a 6-Year Follow-Up.
10.3988/jcn.2014.10.4.367
- Author:
Eun Joo KIM
1
;
Kwang Dong CHOI
;
Jeong Eun KIM
;
Seong Jang KIM
;
Ji Soo KIM
;
Jong S KIM
;
Jee Hyang JEONG
Author Information
1. Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Korea.
- Publication Type:Case Report
- Keywords:
saccade;
cardiac surgery;
[18F]-FDG-PET;
SWI
- MeSH:
Adult;
Brain;
Brain Stem;
Cerebellum;
Cerebral Cortex;
Deglutition Disorders;
Dysarthria;
Female;
Follow-Up Studies*;
Functional Neuroimaging;
Glucose;
Humans;
Magnetic Resonance Imaging;
Neuroimaging*;
Paralysis*;
Positron-Emission Tomography;
Saccades;
Thoracic Surgery*
- From:Journal of Clinical Neurology
2014;10(4):367-370
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Patients who develop horizontal and vertical saccadic palsy after cardiac surgery have rarely been described. Although most such patients exhibit distinct neurological deficits, their brain MRI findings are almost normal. In addition, functional neuroimaging of such patients has never been reported. CASE REPORT: A 43-year-old woman with dysarthria, dysphagia, and horizontal and vertical saccadic palsy after cardiac surgery was followed up for about 6 years; serial brain MRIs has been performed during this period, including susceptibility-weighted imaging (SWI) and [18F]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET). Multiple microbleeds in the cerebral cortex, cerebellum, and brainstem, and glucose hypometabolism in the brainstem, cerebellum, and multiple cortical areas. CONCLUSIONS: To the best of our knowledge, this is the first reported case of saccadic palsy after cardiac surgery with serial SWI and [18F]-FDG-PET performed to explore the possible cerebral lesions.
