1. Case Report: Transient cortical blindness following coronary angiography
- Author
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Maureen Victoria Kawilarang, Petrina Theda Philothra, Ruth Irena Gunadi, Yudi Her Oktaviono, Michael Kawilarang, and Makhyan Jibril Al Farabi
- Subjects
Coronary angiography ,medicine.medical_specialty ,Blindness ,General Immunology and Microbiology ,business.industry ,Cortical blindness ,medicine.medical_treatment ,General Medicine ,medicine.disease ,Pathophysiology ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Cardiology ,Medicine ,Brain magnetic resonance imaging ,030212 general & internal medicine ,General Pharmacology, Toxicology and Pharmaceutics ,business ,Angiography procedures ,030217 neurology & neurosurgery ,Probable mechanism ,Cardiac catheterization - Abstract
Temporary blindness, also known as transient cortical blindness, is an uncommon impediment of contrast agent usage during angiography procedures. The occurrence of blindness after a cardiac catheterization procedure is rare and its pathophysiology remains largely speculative. The most probable mechanism seems to be contrast agent-related disruption of the blood–brain barrier, possibly initiated by several predisposing factors. This case reports a 52-year-old man with transient vision loss that occurred following coronary angiography. Brain magnetic resonance imaging (MRI) showed no acute pathology and his vision spontaneously returned within approximately 15 hours post-procedure without any requirement of specific therapy. Suggesting that transient cortical blindness may have occurred following coronary angiography which subsequently self-resolved.
- Published
- 2022
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