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Branch retinal artery occlusion following radiation therapy to the head and neck: a case report
BACKGROUND: Previous studies have established that radiation to the head and neck leads to atherosclerosis and stenosis of the carotid artery and subsequent increased stroke risk, but the ophthalmic sequella following cervical irradiation is less well-defined. CASE PRESENTATION: We present a single...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228417/ https://www.ncbi.nlm.nih.gov/pubmed/24180233 http://dx.doi.org/10.1186/1471-2415-13-66 |
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author | Jiang, Helen Stem, Maxwell S Finkelstein, Jerome I |
author_facet | Jiang, Helen Stem, Maxwell S Finkelstein, Jerome I |
author_sort | Jiang, Helen |
collection | PubMed |
description | BACKGROUND: Previous studies have established that radiation to the head and neck leads to atherosclerosis and stenosis of the carotid artery and subsequent increased stroke risk, but the ophthalmic sequella following cervical irradiation is less well-defined. CASE PRESENTATION: We present a single case of branch retinal artery occlusion (BRAO) in a 55 year-old Caucasian male seen at the University of Michigan in 2008 following unilateral head and neck radiation. CONCLUSION: This case demonstrates that patients receiving radiation to the head and neck may be at increased risk for developing a BRAO secondary to atherosclerotic changes of vessels adjacent to the radiation target. Given this risk, it may be reasonable to obtain carotid artery imaging in patients with a history of cervical radiation who present with sudden or transient visual field defects, even in the absence of other conventional risk factors for atherosclerosis. |
format | Online Article Text |
id | pubmed-4228417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-42284172014-11-13 Branch retinal artery occlusion following radiation therapy to the head and neck: a case report Jiang, Helen Stem, Maxwell S Finkelstein, Jerome I BMC Ophthalmol Case Report BACKGROUND: Previous studies have established that radiation to the head and neck leads to atherosclerosis and stenosis of the carotid artery and subsequent increased stroke risk, but the ophthalmic sequella following cervical irradiation is less well-defined. CASE PRESENTATION: We present a single case of branch retinal artery occlusion (BRAO) in a 55 year-old Caucasian male seen at the University of Michigan in 2008 following unilateral head and neck radiation. CONCLUSION: This case demonstrates that patients receiving radiation to the head and neck may be at increased risk for developing a BRAO secondary to atherosclerotic changes of vessels adjacent to the radiation target. Given this risk, it may be reasonable to obtain carotid artery imaging in patients with a history of cervical radiation who present with sudden or transient visual field defects, even in the absence of other conventional risk factors for atherosclerosis. BioMed Central 2013-11-01 /pmc/articles/PMC4228417/ /pubmed/24180233 http://dx.doi.org/10.1186/1471-2415-13-66 Text en Copyright © 2013 Jiang et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Jiang, Helen Stem, Maxwell S Finkelstein, Jerome I Branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
title | Branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
title_full | Branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
title_fullStr | Branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
title_full_unstemmed | Branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
title_short | Branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
title_sort | branch retinal artery occlusion following radiation therapy to the head and neck: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4228417/ https://www.ncbi.nlm.nih.gov/pubmed/24180233 http://dx.doi.org/10.1186/1471-2415-13-66 |
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