Blindness associated with enlarging mycotic aneurysm after cavernous sinus thrombosis
We report a patient with an enlarging internal carotid mycotic aneurysm secondary to septic cavernous sinus thrombosis presenting with acute visual loss. Single observational case report. Retrospective review of the medical record and review of the literature. A 19-year-old man with residual left si...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 2003-10, Vol.110 (10), p.2036-2039 |
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| creator | Quisling, Susannah V Mawn, Louise A Larson, Theodore C |
| description | We report a patient with an enlarging internal carotid mycotic aneurysm secondary to septic cavernous sinus thrombosis presenting with acute visual loss.
Single observational case report.
Retrospective review of the medical record and review of the literature.
A 19-year-old man with residual left sixth nerve palsy and decreased vision in his left eye caused by left cavernous sinus thrombosis secondary to pansinusitis was seen 2 weeks after discharge with acute decreased visual acuity in the right eye. A workup revealed an enlarging left carotid/ophthalmic aneurysm that compressed the optic chiasm and right optic nerve. The patient was taken to the interventional angiography suite, where his left internal carotid artery was occluded endovascularly. The patient's vision improved on discharge.
Visual loss caused by a mycotic carotid aneurysm is an infrequent sequelae after cavernous sinus thrombosis and is not well described in the literature. To our knowledge, this is the first reported case of acute visual loss associated with a mycotic ophthalmic aneurysm. The result of treatment was good in this case, with the patient's visual acuity returning to pretreatment status. |
| doi_str_mv | 10.1016/S0161-6420(03)00737-1 |
| format | Article |
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Single observational case report.
Retrospective review of the medical record and review of the literature.
A 19-year-old man with residual left sixth nerve palsy and decreased vision in his left eye caused by left cavernous sinus thrombosis secondary to pansinusitis was seen 2 weeks after discharge with acute decreased visual acuity in the right eye. A workup revealed an enlarging left carotid/ophthalmic aneurysm that compressed the optic chiasm and right optic nerve. The patient was taken to the interventional angiography suite, where his left internal carotid artery was occluded endovascularly. The patient's vision improved on discharge.
Visual loss caused by a mycotic carotid aneurysm is an infrequent sequelae after cavernous sinus thrombosis and is not well described in the literature. To our knowledge, this is the first reported case of acute visual loss associated with a mycotic ophthalmic aneurysm. The result of treatment was good in this case, with the patient's visual acuity returning to pretreatment status.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(03)00737-1</identifier><identifier>PMID: 14522784</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aneurysm, Infected - diagnosis ; Aneurysm, Infected - etiology ; Biological and medical sciences ; Blindness - etiology ; Blindness - physiopathology ; Carotid Artery, Internal - pathology ; Carotid Artery, Internal - surgery ; Cavernous Sinus Thrombosis - complications ; Cavernous Sinus Thrombosis - diagnosis ; Cavernous Sinus Thrombosis - surgery ; Cerebral Angiography ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Nerve Compression Syndromes - etiology ; Neurology ; Ophthalmology ; Optic Chiasm - pathology ; Optic Nerve Diseases - etiology ; Retrospective Studies ; Tumors of the nervous system. Phacomatoses ; Vision disorders ; Visual Acuity ; Visual Field Tests ; Visual Fields</subject><ispartof>Ophthalmology (Rochester, Minn.), 2003-10, Vol.110 (10), p.2036-2039</ispartof><rights>2003 American Academy of Ophthalmology</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-80b763ef3fcfb790bda2e6fb21012a4a02ebc79acc881fd369bb251079f4ac613</citedby><cites>FETCH-LOGICAL-c391t-80b763ef3fcfb790bda2e6fb21012a4a02ebc79acc881fd369bb251079f4ac613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0161-6420(03)00737-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15180020$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14522784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quisling, Susannah V</creatorcontrib><creatorcontrib>Mawn, Louise A</creatorcontrib><creatorcontrib>Larson, Theodore C</creatorcontrib><title>Blindness associated with enlarging mycotic aneurysm after cavernous sinus thrombosis</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>We report a patient with an enlarging internal carotid mycotic aneurysm secondary to septic cavernous sinus thrombosis presenting with acute visual loss.
Single observational case report.
Retrospective review of the medical record and review of the literature.
A 19-year-old man with residual left sixth nerve palsy and decreased vision in his left eye caused by left cavernous sinus thrombosis secondary to pansinusitis was seen 2 weeks after discharge with acute decreased visual acuity in the right eye. A workup revealed an enlarging left carotid/ophthalmic aneurysm that compressed the optic chiasm and right optic nerve. The patient was taken to the interventional angiography suite, where his left internal carotid artery was occluded endovascularly. The patient's vision improved on discharge.
Visual loss caused by a mycotic carotid aneurysm is an infrequent sequelae after cavernous sinus thrombosis and is not well described in the literature. To our knowledge, this is the first reported case of acute visual loss associated with a mycotic ophthalmic aneurysm. The result of treatment was good in this case, with the patient's visual acuity returning to pretreatment status.</description><subject>Adult</subject><subject>Aneurysm, Infected - diagnosis</subject><subject>Aneurysm, Infected - etiology</subject><subject>Biological and medical sciences</subject><subject>Blindness - etiology</subject><subject>Blindness - physiopathology</subject><subject>Carotid Artery, Internal - pathology</subject><subject>Carotid Artery, Internal - surgery</subject><subject>Cavernous Sinus Thrombosis - complications</subject><subject>Cavernous Sinus Thrombosis - diagnosis</subject><subject>Cavernous Sinus Thrombosis - surgery</subject><subject>Cerebral Angiography</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nerve Compression Syndromes - etiology</subject><subject>Neurology</subject><subject>Ophthalmology</subject><subject>Optic Chiasm - pathology</subject><subject>Optic Nerve Diseases - etiology</subject><subject>Retrospective Studies</subject><subject>Tumors of the nervous system. Phacomatoses</subject><subject>Vision disorders</subject><subject>Visual Acuity</subject><subject>Visual Field Tests</subject><subject>Visual Fields</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v1DAQhi0EotvCTwDlAoJDYPwROzkhqMqHVIkD9GzZzrg1SpziyRbtv8fbXdEjl5nLMzPvPIy94PCOA9fvf9TCW60EvAH5FsBI0_JHbMM7NbTKcPmYbf4hJ-yU6BcAaC3VU3bCVSeE6dWGXX2aUh4zEjWOaAnJrTg2f9J602CeXLlO-bqZd2FZU2hcxm3Z0dy4uGJpgrvDkpctNZRyretNWWa_UKJn7El0E-HzYz9jV58vfp5_bS-_f_l2_vGyDXLga9uDN1pilDFEbwbwoxOooxf1Q-GUA4E-mMGF0Pc8jlIP3ouOgxmickFzecZeH_beluX3Fmm1c6KA01ST1lzWdEYpbYYKdgcwlIWoYLS3Jc2u7CwHu_dp733avSwL0t77tPsDL48Htn7G8WHqKLACr46Ao-CmWFwOiR64jvcAAir34cBh1XGXsFgKCXPAMRUMqx2X9J8ofwEXcZO2</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>Quisling, Susannah V</creator><creator>Mawn, Louise A</creator><creator>Larson, Theodore C</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031001</creationdate><title>Blindness associated with enlarging mycotic aneurysm after cavernous sinus thrombosis</title><author>Quisling, Susannah V ; Mawn, Louise A ; Larson, Theodore C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-80b763ef3fcfb790bda2e6fb21012a4a02ebc79acc881fd369bb251079f4ac613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aneurysm, Infected - diagnosis</topic><topic>Aneurysm, Infected - etiology</topic><topic>Biological and medical sciences</topic><topic>Blindness - etiology</topic><topic>Blindness - physiopathology</topic><topic>Carotid Artery, Internal - pathology</topic><topic>Carotid Artery, Internal - surgery</topic><topic>Cavernous Sinus Thrombosis - complications</topic><topic>Cavernous Sinus Thrombosis - diagnosis</topic><topic>Cavernous Sinus Thrombosis - surgery</topic><topic>Cerebral Angiography</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nerve Compression Syndromes - etiology</topic><topic>Neurology</topic><topic>Ophthalmology</topic><topic>Optic Chiasm - pathology</topic><topic>Optic Nerve Diseases - etiology</topic><topic>Retrospective Studies</topic><topic>Tumors of the nervous system. Phacomatoses</topic><topic>Vision disorders</topic><topic>Visual Acuity</topic><topic>Visual Field Tests</topic><topic>Visual Fields</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quisling, Susannah V</creatorcontrib><creatorcontrib>Mawn, Louise A</creatorcontrib><creatorcontrib>Larson, Theodore C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quisling, Susannah V</au><au>Mawn, Louise A</au><au>Larson, Theodore C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blindness associated with enlarging mycotic aneurysm after cavernous sinus thrombosis</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>110</volume><issue>10</issue><spage>2036</spage><epage>2039</epage><pages>2036-2039</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>We report a patient with an enlarging internal carotid mycotic aneurysm secondary to septic cavernous sinus thrombosis presenting with acute visual loss.
Single observational case report.
Retrospective review of the medical record and review of the literature.
A 19-year-old man with residual left sixth nerve palsy and decreased vision in his left eye caused by left cavernous sinus thrombosis secondary to pansinusitis was seen 2 weeks after discharge with acute decreased visual acuity in the right eye. A workup revealed an enlarging left carotid/ophthalmic aneurysm that compressed the optic chiasm and right optic nerve. The patient was taken to the interventional angiography suite, where his left internal carotid artery was occluded endovascularly. The patient's vision improved on discharge.
Visual loss caused by a mycotic carotid aneurysm is an infrequent sequelae after cavernous sinus thrombosis and is not well described in the literature. To our knowledge, this is the first reported case of acute visual loss associated with a mycotic ophthalmic aneurysm. The result of treatment was good in this case, with the patient's visual acuity returning to pretreatment status.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>14522784</pmid><doi>10.1016/S0161-6420(03)00737-1</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Aneurysm, Infected - diagnosis Aneurysm, Infected - etiology Biological and medical sciences Blindness - etiology Blindness - physiopathology Carotid Artery, Internal - pathology Carotid Artery, Internal - surgery Cavernous Sinus Thrombosis - complications Cavernous Sinus Thrombosis - diagnosis Cavernous Sinus Thrombosis - surgery Cerebral Angiography Humans Magnetic Resonance Imaging Male Medical sciences Nerve Compression Syndromes - etiology Neurology Ophthalmology Optic Chiasm - pathology Optic Nerve Diseases - etiology Retrospective Studies Tumors of the nervous system. Phacomatoses Vision disorders Visual Acuity Visual Field Tests Visual Fields |
| title | Blindness associated with enlarging mycotic aneurysm after cavernous sinus thrombosis |
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