Acute Bitemporal Hemianopsia Following Transsphenoidal Pituitary Adenoma Resection With Fat Graft

Livingston, Chelsea A; Raviskanthan, Subahari; Mortensen, Peter W; Britz, Gavin W.; Lee, Andrew G.

doi:10.1097/wno.0000000000001499

Cited by 1 publication

(1 citation statement)

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“…The most common cause of bitemporal hemianopia is compressive lesions like pituitary adenomas. 1 Ischemic etiologies have been reported previously as a rare cause of chiasmopathy. 2 We report a case of transient ischemic chiasmopathy in a hypotensive coronary artery disease (CAD) patient with ischemic stroke, who developed bitemporal hemianopia presumably due to hypoperfusion of the optic chiasm precipitating transient bilateral peripheral visual field loss.…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Ischemic Optic Chiasmopathy Following Left Ventricular Dysfunction in a Patient with Coronary Artery Disease

Murugesh,

Poovathingal,

George

2023

Journal of Stroke Medicine

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We report a case of transient bitemporal hemianopia following a hypotensive episode in a patient of coronary artery disease (CAD). A 51-year-old male presented with anterior wall myocardial infarction (AWMI) and underwent percutaneous coronary artery intervention (PCI). On the second day post procedure, he developed an acute ischemic event following a cardioembolic infarct to the left middle cerebral artery (MCA) region. Over the next few days, the patient had persistent drop in blood pressure, during which he developed a transient bitemporal hemianopia, which improved after blood pressure correction, consistent with ischemic chiasmopathy. As such in literature, ischemic optic chiasmopathy is a very rare entity. This case report emphasizes that clinicians should consider that sustained hypotension associated with a cardiac event may lead to transient ischemic phenomenon such as the witnessed visual impairment due to hypoperfusion of the optic chiasm.

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Section: Introductionmentioning

confidence: 99%