Recurrent Spontaneous Vasospasm of Cervical Carotid, Ophthalmic and Retinal Arteries Causing Repeated Retinal Infarcts: A Case Report

Mosso, Maria Luisa; Jung, Hans H.; Baumgartner, Ralf W.

doi:10.1159/000107919

Cited by 21 publications

(13 citation statements)

References 5 publications

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“…They can cause cerebral or ocular ischemia, but the stenosis caused by spasm is usually so short that only a few reports describe it being visualized by ultrasound (Janzarik et al 2007;Mosso et al 2007); however, it is assumed that most instances of vasospasms go undetected. They can cause cerebral or ocular ischemia, but the stenosis caused by spasm is usually so short that only a few reports describe it being visualized by ultrasound (Janzarik et al 2007;Mosso et al 2007); however, it is assumed that most instances of vasospasms go undetected.…”

Section: Vasospasmmentioning

confidence: 99%

Ultrasonography in Vascular Diagnosis

Schäberle

2011

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The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature.Cover design: eStudioCalamar, Fiqueres/Berlin

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Section: Vasospasmmentioning

confidence: 99%

Ultrasonography in Vascular Diagnosis

Schäberle

2011

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“…Vasospasm of the ophthalmic artery has been previously described and implicated in the genesis of visual dysfunction, although out of a surgical context 6 . It may be of a primary or secondary nature.…”

Section: Etiologies Of Visual Dysfunctionmentioning

confidence: 99%

Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm

et al. 2010

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SummaryA 56-year-old woman underwent surgery for a ruptured carotid-ophthalmic artery aneurysm. Intraoperative visual inspection confirmed that the ophthalmic artery was left intact. She had no light perception on the operated side right after surgery. Angiography one week after surgery confirmed exclusion of the aneurysm, no filling of the proximal portion of the ophthalmic artery, and a very faint filling of its distal orbital part. She gradually recovered from this deficit and 9 months after surgery she is capable of counting fingers. Hallazgos angiograficos y visuales inesperados tras clipage de aneurisma carotido-oftálmico ResumenUna mujer de 56 años fue intervenida de un aneurisma carotido-oftálmico roto. La inspección visual intraoperatoria confirmaba que la arteria oftálmica estaba intacta. Tras la cirugía la paciente no percibía luz por dicho ojo y la angiografía una semana después de la cirugía confirmó la exclusión del aneurisma, con falta de relleno de la porción proximal de la arteria oftálmica, y un relleno muy débil de la porción orbitaria distal. La paciente se fue recuperando progresivamente del déficit y 9 meses después de la cirugía es capaz de contar dedos. La angiografía actual demuestra un relleno de todas las porciones de la arteria oftálmica, con ausencia de circulación colateral, y exclusión del aneurisma. La manipulación quirúrgica parece haber inducido vasoespasmo o trombosis de la arteria oftálmica. La regresión del vasoespasmo o la recanalización secundaria del trombo sin desarrollo de circulación colateral pueden justificar la mejoría gradual de la visión. Hay un riesgo de amaurosis unilateral asociado al tratamiento quirúrgico de los aneurismas paraclinoideos, aunque existe posibilidad de mejoría en algunos casos.

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“…In the presence of anterior ischemic optic neuropathy, pale edema is detected at the optic nerve papilla on funduscopy, whereas there are no abnormal findings in the fundus early after the onset of posterior ischemic optic neuropathy; it is diagnosed based on pupillary reactions, visual field tests, and medical history. Mosso et al 11) reported that retinal ischemia had occurred 3 times: only when the ocular and central retinal arteries were occluded in addition to the cervical internal carotid artery, during the 70-month follow-up in one patient with repeated retinal ischemia related to vasospasms of the cervical internal carotid, ophthalmic, and central retinal arteries. They indicated that vasospasms involving the ophthalmic and central retinal arteries in frequency of attacks and preventing ischemic hemispheric symptoms in patients with such vasospasms.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Idiopathic Recurrent Internal Carotid Artery Vasospasms with Bilateral Carotid Artery Stenting: A Case Report

Takahira

Kataoka

Ogino

et al. 2017

NOUSHINKEI KEKKANNAI TIRYOU

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Objective: Idiopathic recurrent internal carotid artery vasospasms refer to paroxysmal vasospasms of the internal carotid artery centering on the cervical segment, which are rare. We report a patient who underwent bilateral carotid artery stenting (CAS) for idiopathic recurrent internal carotid artery vasospasms.Case Presentation: A 40-year-old male. Paroxysmal vasospasms of the internal carotid artery had occurred 5 or 6 times a month during the past 10 years, with headache, amaurosis fugax, hemiparesis, and aphasia. The attacks could not completely be reduced by drug therapy, and bilateral CAS was performed. The frequency of attacks decreased during a postoperative period of 6 months, and ischemic symptoms of the hemisphere had disappeared. Conclusion:CAS for drug-resistant idiopathic recurrent internal carotid artery vasospasms may be useful for decreasing the frequency of attacks and preventing ischemic hemispheric symptoms.Keywords▶ idiopathic recurrent internal carotid artery vasospasms, carotid artery stenting, transient ischemic attack

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Recurrent Spontaneous Vasospasm of Cervical Carotid, Ophthalmic and Retinal Arteries Causing Repeated Retinal Infarcts: A Case Report

Cited by 21 publications

References 5 publications

Ultrasonography in Vascular Diagnosis

Ultrasonography in Vascular Diagnosis

Unexpected angiographic and visual findings after clipping of a carotid-ophthalmic aneurysm

Treatment of Idiopathic Recurrent Internal Carotid Artery Vasospasms with Bilateral Carotid Artery Stenting: A Case Report

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