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Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery

Acquired supranuclear ocular motor paresis (ASOMP) is a rare complication following cardiac surgery, characterized by limited voluntary eye motility. The exact cause and development of ASOMP after cardiac surgery remain unclear. We report a case of ASOMP with paracentral bitemporal hemianopsia with...

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Detalles Bibliográficos
Autores principales: Wong, Calvin W, Kharsa, Ahmad, Laylani, Noor Adnan Rashid, Davila Siliezar, Pamela, Lee, Andrew G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518161/
https://www.ncbi.nlm.nih.gov/pubmed/37750157
http://dx.doi.org/10.7759/cureus.44108
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author Wong, Calvin W
Kharsa, Ahmad
Laylani, Noor Adnan Rashid
Davila Siliezar, Pamela
Lee, Andrew G
author_facet Wong, Calvin W
Kharsa, Ahmad
Laylani, Noor Adnan Rashid
Davila Siliezar, Pamela
Lee, Andrew G
author_sort Wong, Calvin W
collection PubMed
description Acquired supranuclear ocular motor paresis (ASOMP) is a rare complication following cardiac surgery, characterized by limited voluntary eye motility. The exact cause and development of ASOMP after cardiac surgery remain unclear. We report a case of ASOMP with paracentral bitemporal hemianopsia with optic atrophy after cardiac surgery, which, to our knowledge, is novel. The patient demonstrated bilateral ophthalmoplegia, with gradual improvement in voluntary smooth pursuit but persistent impairment in saccadic eye movements. Interestingly, the patient showed improved proprioceptive-driven pursuit of their own hand compared to pursuit or saccades following an examiner's hand. The visual field examination revealed a bilateral paracentral temporal hemianopic field defect. The underlying mechanisms of ASOMP and potential chiasmal ischemia in this case remain unknown. Clinicians should be aware of the possibility of ASOMP following cardiac surgery, with potential slow improvement over time.
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spelling pubmed-105181612023-09-25 Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery Wong, Calvin W Kharsa, Ahmad Laylani, Noor Adnan Rashid Davila Siliezar, Pamela Lee, Andrew G Cureus Cardiac/Thoracic/Vascular Surgery Acquired supranuclear ocular motor paresis (ASOMP) is a rare complication following cardiac surgery, characterized by limited voluntary eye motility. The exact cause and development of ASOMP after cardiac surgery remain unclear. We report a case of ASOMP with paracentral bitemporal hemianopsia with optic atrophy after cardiac surgery, which, to our knowledge, is novel. The patient demonstrated bilateral ophthalmoplegia, with gradual improvement in voluntary smooth pursuit but persistent impairment in saccadic eye movements. Interestingly, the patient showed improved proprioceptive-driven pursuit of their own hand compared to pursuit or saccades following an examiner's hand. The visual field examination revealed a bilateral paracentral temporal hemianopic field defect. The underlying mechanisms of ASOMP and potential chiasmal ischemia in this case remain unknown. Clinicians should be aware of the possibility of ASOMP following cardiac surgery, with potential slow improvement over time. Cureus 2023-08-25 /pmc/articles/PMC10518161/ /pubmed/37750157 http://dx.doi.org/10.7759/cureus.44108 Text en Copyright © 2023, Wong et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Wong, Calvin W
Kharsa, Ahmad
Laylani, Noor Adnan Rashid
Davila Siliezar, Pamela
Lee, Andrew G
Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery
title Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery
title_full Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery
title_fullStr Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery
title_full_unstemmed Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery
title_short Paracentral Bitemporal Hemianopsia and Acquired Supranuclear Ocular Motor Paresis Following Cardiac Surgery
title_sort paracentral bitemporal hemianopsia and acquired supranuclear ocular motor paresis following cardiac surgery
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518161/
https://www.ncbi.nlm.nih.gov/pubmed/37750157
http://dx.doi.org/10.7759/cureus.44108
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