Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy

A 32-year-old female with a right frontal lobe glioma underwent an elective frontotemporal craniotomy. One hour postoperatively, the patient developed a right orbital compartment syndrome (OCS) with unilateral acute vision loss, proptosis, afferent pupillary defect, and complete ophthalmoplegia. The...

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Autores principales: DeMaria, Lauren, Tran, Ann Q, Tooley, Andrea A., Abdelhakim, Aliaa, Belinsky, Irina, Kim, Eleanore
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8312523/
https://www.ncbi.nlm.nih.gov/pubmed/34318304
http://dx.doi.org/10.4103/ijo.ijo_1982_20
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author DeMaria, Lauren
Tran, Ann Q
Tooley, Andrea A.
Abdelhakim, Aliaa
Belinsky, Irina
Kim, Eleanore
author_facet DeMaria, Lauren
Tran, Ann Q
Tooley, Andrea A.
Abdelhakim, Aliaa
Belinsky, Irina
Kim, Eleanore
author_sort DeMaria, Lauren
collection PubMed
description A 32-year-old female with a right frontal lobe glioma underwent an elective frontotemporal craniotomy. One hour postoperatively, the patient developed a right orbital compartment syndrome (OCS) with unilateral acute vision loss, proptosis, afferent pupillary defect, and complete ophthalmoplegia. The patient underwent emergent lateral canthotomy and inferior cantholysis. Neuroimaging revealed extensive vascular congestion along the extraocular muscles at the orbital apex. Retinal imaging demonstrated an ophthalmic artery occlusion. OCS following a frontal or frontotemporal craniotomy relates to increased orbital venous congestion from direct compression of the myocutaneous flap and subsequent intraorbital pressure elevation, vascular compromise, and ocular ischemia.
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spelling pubmed-83125232021-07-26 Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy DeMaria, Lauren Tran, Ann Q Tooley, Andrea A. Abdelhakim, Aliaa Belinsky, Irina Kim, Eleanore Indian J Ophthalmol Case Rep Article A 32-year-old female with a right frontal lobe glioma underwent an elective frontotemporal craniotomy. One hour postoperatively, the patient developed a right orbital compartment syndrome (OCS) with unilateral acute vision loss, proptosis, afferent pupillary defect, and complete ophthalmoplegia. The patient underwent emergent lateral canthotomy and inferior cantholysis. Neuroimaging revealed extensive vascular congestion along the extraocular muscles at the orbital apex. Retinal imaging demonstrated an ophthalmic artery occlusion. OCS following a frontal or frontotemporal craniotomy relates to increased orbital venous congestion from direct compression of the myocutaneous flap and subsequent intraorbital pressure elevation, vascular compromise, and ocular ischemia. 2021-04-01 2021 /pmc/articles/PMC8312523/ /pubmed/34318304 http://dx.doi.org/10.4103/ijo.ijo_1982_20 Text en For reprints contact:WKHLRPMedknow_reprints@wolterskluwer.com https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Article
DeMaria, Lauren
Tran, Ann Q
Tooley, Andrea A.
Abdelhakim, Aliaa
Belinsky, Irina
Kim, Eleanore
Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
title Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
title_full Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
title_fullStr Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
title_full_unstemmed Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
title_short Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
title_sort ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8312523/
https://www.ncbi.nlm.nih.gov/pubmed/34318304
http://dx.doi.org/10.4103/ijo.ijo_1982_20
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