Posterior ischemic optic neuropathy following supine craniotomy for epidural abscess in a child

Oliver, Jeffrey; Kobets, Andrew J.; Judy, Brendan F.; Cohen, Alan R.

doi:10.1007/s00381-020-04921-y

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…It is associated with multifactorial systemic diseases such as diabetes mellitus, hypertension, atherosclerosis or other causes (carotid artery dissection, carotid cavernous fistula) (9), migraine (8,10,11), associated with haemodialysis (8,12), or head injury (8). Perioperative conditions can also be the cause (13)(14)(15)(16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

Optic neuropathy associated with acute pancreatitis: A case report

et al. 2022

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The present article describes a case of a 24-year-old patient who suffered from acute pancreatitis. The patient simultaneously developed visual acuity loss and changes in the visual field. When examined, the finding was physiological, including the fundoscopy. Neither fluorescein angiography or optical coherence tomography demonstrated any retinal abnormalities; electroretinography was physiological as well. The visual evoked potentials (VEP) showed abnormalities in amplitudes. Patient's visual field was reduced to 40˚. The follow-up examination 13 months after the first symptoms proved a progression of changes in the visual field and prolonged latency of P100 peak in VEP. The retinal nerve fibre layer stayed unchanged, but the vessel density on the optic nerve head decreased. Magnetic resonance brain imaging showed non-specific subcortical and paraventricular focuses in the white matter of both hemispheres. There were no other abnormalities detected by magnetic resonance imaging. Neurological examination was normal. In conclusion, the present study verified this decrease of visual functions as a lesion in the visual pathway using VEP, which was also confirmed by magnetic resonance brain imaging.

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Section: Discussionmentioning

confidence: 99%

Optic neuropathy associated with acute pancreatitis: A case report

et al. 2022

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“…Singh et al, in 2021, reviewed ophthalmic complications associated with perioperative anesthesia, citing literature indicating that spinal fusion surgeries are associated with both ION and CRAO [60]. Oliver et al, in 2021, reported a 9-year-old boy who was diagnosed with posterior ION following supine craniotomy for an epidural abscess [61]. Mulukutla, Yelemarthy, and Vadpalli, in 2021, presented a 46-year-old female who underwent anterior cervical discectomy and fusion and developed bilateral loss of vision 9 h after the surgery, and was found to have cortical blindness [62].…”

Section: -Presentmentioning

confidence: 99%

“…The presentation of PION will be consistent with optic neuropathy, but with an unremarkable fundoscopic exam [36]. While PION is often a diagnosis of exclusion, recent reports have argued for the use of diffusion weighted imaging (DWI) to diagnose the acute phase of PION [55,61,65]. DWI has been applied to AION and shows promise in detecting ischemic changes [81].…”

Section: Assessment and Diagnosismentioning

confidence: 99%

Perioperative Blindness in Spine Surgery: A Scoping Literature Review

Sperber,

Owolo,

Zachem

et al. 2024

JCM

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Perioperative vision loss (POVL) is a devastating surgical complication that impacts both the recovery from surgery and quality of life, most commonly occurring after spine surgery. With rates of spine surgery dramatically increasing, the prevalence of POVL will increase proportionately. This scoping review aims to aggregate the literature pertinent to POVL in spine surgery and consolidate recommendations and preventative measures to reduce the risk of POVL. There are several causes of POVL, and the main contribution following spine surgery is ischemic optic neuropathy (ION). Vision loss often manifests immediately following surgery and is irreversible and severe. Diffusion weighted imaging has recently surfaced as a diagnostic tool to identify ION. There are no effective treatments; therefore, risk stratification for counseling and prevention are vital. Patients undergoing prone surgery of long duration and/or with significant expected blood loss are at greatest risk. Future research is necessary to develop effective treatments.

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A Case Report of Frontal Sinus Abscess Complicated by Epidural Abscess with a Literature Review

Yang,

Zhang,

Liu

et al. 2024

IDR

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Inflammation of the frontal sinus is a relatively common clinical condition among paranasal sinusitis and is curable through anti-infection treatments, with a rare progression to frontal sinus abscess. An even rarer complication is the development of intracranial epidural empyema secondary to frontal sinus abscess. In this report, we describe a case of a 14-year-old male with a frontal sinus abscess that led to intracranial infection and was complicated by an epidural abscess misdiagnosed as an epidural hematoma. The primary symptoms were headache, dizziness, and fever. Following combined antibiotic therapy and surgical intervention, including maxillary and frontal sinus window drainage, the patient was cured. A follow-up period of three months showed no recurrence, indicating a favorable outcome.

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Posterior ischemic optic neuropathy following supine craniotomy for epidural abscess in a child

Cited by 3 publications

References 26 publications

Optic neuropathy associated with acute pancreatitis: A case report

Optic neuropathy associated with acute pancreatitis: A case report

Perioperative Blindness in Spine Surgery: A Scoping Literature Review

A Case Report of Frontal Sinus Abscess Complicated by Epidural Abscess with a Literature Review

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