Literature DB >> 24347448

Optic pathway infarct after Onyx HD 500 aneurysm embolization: visual pathway ischemia from superior hypophyseal artery occlusion.

Jeremiah Nicholas Johnson1, Mohamed Elhammady, Judith Post, Joshua Pasol, Koji Ebersole, Mohammad Ali Aziz-Sultan.   

Abstract

We report a case of visual deterioration after Onyx HD 500 embolization of a left 7 mm superior hypophyseal artery (SHA) aneurysm. After the procedure, the patient experienced a right incongruous homonymous hemianopia, and MRI showed an infarct of the ipsilateral optic chiasm/tract but no evidence of aneurysm mass effect or embolic cortical infarcts. The optic pathway ischemia is believed to be secondary to Onyx penetration and occlusion of an SHA branch near the aneurysm neck. Caution is advised when using liquid embolic agents to treat SHA aneurysms as SHA occlusion may lead to visual deficits.

Entities:  

Keywords:  Aneurysm; Angiography; Liquid Embolic Material; MRI; Stroke

Mesh：

Substances：

Year:  2013        PMID： 24347448      PMCID： PMC3888536          DOI： 10.1136/bcr-2013-010968

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN： 1757-790X


  11 in total

1.  Endovascular embolization of superior hypophyseal artery aneurysms.

Authors:  J H Gurian; F Viñuela; G Guglielmi; Y P Gobin; G R Duckwiler
Journal:  Neurosurgery       Date:  1996-12       Impact factor: 4.654

2.  Late angiographic and clinical follow-up results of 100 consecutive aneurysms treated with Onyx reconstruction: largest single-center experience.

Authors:  H Saruhan Cekirge; Isil Saatci; M Halil Ozturk; Barbaros Cil; Anil Arat; Michel Mawad; Fikret Ergungor; Deniz Belen; Uygur Er; Sami Turk; Murat Bavbek; Zeki Sekerci; Ethem Beskonakli; Osman E Ozcan; Tuncalp Ozgen
Journal:  Neuroradiology       Date:  2006-01-04       Impact factor: 2.804

3.  Temporary cortical blindness following angiography.

Authors:  N H Horwitz; L Wener
Journal:  J Neurosurg       Date:  1974-05       Impact factor: 5.115

4.  Microsurgical anatomy of the arteries of the pituitary stalk and gland as viewed from above.

Authors:  H Gibo; S Kobayashi; K Kyoshima; M Hokama
Journal:  Acta Neurochir (Wien)       Date:  1988       Impact factor: 2.216

5.  Delayed visual deficits and monocular blindness after endovascular treatment of large and giant paraophthalmic aneurysms.

Authors:  Raymond D Turner; James V Byrne; Michael E Kelly; Aristotelis P Mitsos; Vivek Gonugunta; Shivu Lalloo; Peter A Rasmussen; David Fiorella
Journal:  Neurosurgery       Date:  2008-09       Impact factor: 4.654

6.  Cerebral Aneurysm Multicenter European Onyx (CAMEO) trial: results of a prospective observational study in 20 European centers.

Authors:  Andrew J Molyneux; Saruhan Cekirge; Isil Saatci; Gyula Gál
Journal:  AJNR Am J Neuroradiol       Date:  2004-01       Impact factor: 3.825

7.  Evaluation of Onyx HD-500 embolic system in the treatment of 84 wide-neck intracranial aneurysms.

Authors:  Ronie L Piske; Luis H Kanashiro; Eric Paschoal; Celso Agner; Sergio S Lima; Paulo H Aguiar
Journal:  Neurosurgery       Date:  2009-05       Impact factor: 4.654

8.  Aneurysms of the ophthalmic segment. A clinical and anatomical analysis.

Authors:  A L Day
Journal:  J Neurosurg       Date:  1990-05       Impact factor: 5.115

9.  Endovascular treatment of paraclinoid aneurysms: experience with 73 patients.

Authors:  Hae Kwan Park; Michael Horowitz; Charles Jungreis; Amin Kassam; Chris Koebbe; Julie Genevro; Kim Dutton; Phil Purdy
Journal:  Neurosurgery       Date:  2003-07       Impact factor: 4.654

10.  Loss of visual evoked potential following temporary occlusion of the superior hypophyseal artery during aneurysm clip placement surgery. Case report.

Authors:  Tetsuya Goto; Yuichiro Tanaka; Kunihiko Kodama; Yoshikazu Kusano; Keiichi Sakai; Kazuhiro Hongo
Journal:  J Neurosurg       Date:  2007-10       Impact factor: 5.115
View more
  3 in total

1.  Magnetic Resonance Findings in Chiasmal and Pregeniculate Ischemic Neuropathy.

Authors:  P Demaerel; K Van Den Eynde; I Casteels
Journal:  Clin Neuroradiol       Date:  2014-04-05       Impact factor: 3.649

Review 2.  Non-compressive disorders of the chiasm.

Authors:  Valerie A Purvin; Aki Kawasaki
Journal:  Curr Neurol Neurosci Rep       Date:  2014-07       Impact factor: 5.081

3.  Analysis of relationship between superior hypophyseal artery visualization and preservation and postoperative visual field deficit in paraclinoid aneurysm.

Authors:  Masato Otawa; Takashi Izumi; Masahiro Nishihori; Tetsuya Tsukada; Ryosuke Oshima; Tomomi Kawaguchi; Shunsaku Goto; Mizuka Ikezawa; Asuka Elisabeth Kropp; Yoshio Araki; Kenji Uda; Toshihiko Wakabayashi
Journal:  Nagoya J Med Sci       Date:  2021-02       Impact factor: 1.131
  3 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.