RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48560/rspo.12309 |
Resumo: | Introduction : Retinal artery occlusive disease is generally caused by atherosclerosis. Dural intracranial fistulae are rare clinical entities with an incidence of 0.29/100.000 adults. Therapeutic embolization is considered according to its anatomical characteristics, and although infrequent, there is risk of secondary retinal branches embolization. Case report: We report the case of a 45-year-old man with history of a hemorrhagic stroke on the left hemisphere in the previous year secondary to an arteriovenous malformation associated with a para-cavernous arteriovenous fistula, who had sudden loss of visual acuity of the left eye 24 hours after therapeutic embolization of a dural para-cavernous arteriovenous fistula. On clinical examination he had a relative afferent pupillary defect on his left eye and fundus examination revealed a cherry red spot with attenuation and segmentation of retinal arterioles of the superior and inferior temporal arcades. The patient started ocular hypotensive drugs and was immediately referred to a hyperbaric oxygen therapy center, where he completed three therapeutic sessions. Despite evidence of retinal reperfusion after one session, final visual acuity was 0.05 in the affected eye. Conclusions: In this case, previous hemorrhagic stroke associated with a para-cavernous fistula was a formal therapeutic indication for embolization. Secondary embolization of retinal artery branches is an infrequent, though possible complication of therapeutic embolization procedures. |
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RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULAComunicações Curtas e Imagens em OftalmologiaIntroduction : Retinal artery occlusive disease is generally caused by atherosclerosis. Dural intracranial fistulae are rare clinical entities with an incidence of 0.29/100.000 adults. Therapeutic embolization is considered according to its anatomical characteristics, and although infrequent, there is risk of secondary retinal branches embolization. Case report: We report the case of a 45-year-old man with history of a hemorrhagic stroke on the left hemisphere in the previous year secondary to an arteriovenous malformation associated with a para-cavernous arteriovenous fistula, who had sudden loss of visual acuity of the left eye 24 hours after therapeutic embolization of a dural para-cavernous arteriovenous fistula. On clinical examination he had a relative afferent pupillary defect on his left eye and fundus examination revealed a cherry red spot with attenuation and segmentation of retinal arterioles of the superior and inferior temporal arcades. The patient started ocular hypotensive drugs and was immediately referred to a hyperbaric oxygen therapy center, where he completed three therapeutic sessions. Despite evidence of retinal reperfusion after one session, final visual acuity was 0.05 in the affected eye. Conclusions: In this case, previous hemorrhagic stroke associated with a para-cavernous fistula was a formal therapeutic indication for embolization. Secondary embolization of retinal artery branches is an infrequent, though possible complication of therapeutic embolization procedures.Ajnet2018-05-20T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporthttps://doi.org/10.48560/rspo.12309eng1646-69501646-6950Silveira e Silva, Dianainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-22T17:06:03ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
title |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
spellingShingle |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA Silveira e Silva, Diana Comunicações Curtas e Imagens em Oftalmologia |
title_short |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
title_full |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
title_fullStr |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
title_full_unstemmed |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
title_sort |
RETINAL ARTERY OCCLUSION AFTER THERAPEUTIC EMBOLIZATION OF A DURAL ARTERIOVENOUS FISTULA |
author |
Silveira e Silva, Diana |
author_facet |
Silveira e Silva, Diana |
author_role |
author |
dc.contributor.author.fl_str_mv |
Silveira e Silva, Diana |
dc.subject.por.fl_str_mv |
Comunicações Curtas e Imagens em Oftalmologia |
topic |
Comunicações Curtas e Imagens em Oftalmologia |
description |
Introduction : Retinal artery occlusive disease is generally caused by atherosclerosis. Dural intracranial fistulae are rare clinical entities with an incidence of 0.29/100.000 adults. Therapeutic embolization is considered according to its anatomical characteristics, and although infrequent, there is risk of secondary retinal branches embolization. Case report: We report the case of a 45-year-old man with history of a hemorrhagic stroke on the left hemisphere in the previous year secondary to an arteriovenous malformation associated with a para-cavernous arteriovenous fistula, who had sudden loss of visual acuity of the left eye 24 hours after therapeutic embolization of a dural para-cavernous arteriovenous fistula. On clinical examination he had a relative afferent pupillary defect on his left eye and fundus examination revealed a cherry red spot with attenuation and segmentation of retinal arterioles of the superior and inferior temporal arcades. The patient started ocular hypotensive drugs and was immediately referred to a hyperbaric oxygen therapy center, where he completed three therapeutic sessions. Despite evidence of retinal reperfusion after one session, final visual acuity was 0.05 in the affected eye. Conclusions: In this case, previous hemorrhagic stroke associated with a para-cavernous fistula was a formal therapeutic indication for embolization. Secondary embolization of retinal artery branches is an infrequent, though possible complication of therapeutic embolization procedures. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-05-20T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48560/rspo.12309 |
url |
https://doi.org/10.48560/rspo.12309 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1646-6950 1646-6950 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Ajnet |
publisher.none.fl_str_mv |
Ajnet |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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1777301520117661696 |