Sudden painless loss of vision following spine surgery: lessons learnt in darkness
A 26-year-old male driver presented with a history of pain in the neck for the past 1 week following trauma due to a road traffic accident. The patient had no neurological deficit. He had type 1 diabetes and was on regular oral hypoglycemics. After radiological investigations, the patient was diagno...
Gespeichert in:
| Veröffentlicht in: | BMJ case reports 2021-01, Vol.14 (1), p.e235888 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 1 |
| container_start_page | e235888 |
| container_title | BMJ case reports |
| container_volume | 14 |
| creator | Nalli, Uvaraj R Aju, Bosco Ramakrishnan, Eswar Muthu, Sathish |
| description | A 26-year-old male driver presented with a history of pain in the neck for the past 1 week following trauma due to a road traffic accident. The patient had no neurological deficit. He had type 1 diabetes and was on regular oral hypoglycemics. After radiological investigations, the patient was diagnosed to have traumatic AO Spine Classification type C translational injury involving anterolisthesis of C6 over C7. After a detailed preoperative assessment, the patient was taken up for surgery. The patient underwent posterior stabilisation with instrumentation from C5 to T2. On extubation from anaesthesia, he immediately complained of complete painless loss of this vision in his left eye. Ophthalmological investigations attributed the cause to be due to central retinal artery occlusion. The patient was discharged with reassurance on the 20th postoperative day with minimal improvement in his vision and at 6-month follow-up, his vision improved to 1/60 and was advised for close follow-up. |
| doi_str_mv | 10.1136/bcr-2020-235888 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7813331</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2512729996</sourcerecordid><originalsourceid>FETCH-LOGICAL-b526t-fe67e3562f7ffa1dc4256668714b5281b4c59bba2378c2057f081cfd061ab6c73</originalsourceid><addsrcrecordid>eNqFkc1LBCEYhyWKiurcLYQuEUz5MX5MhyCiLwiCPqCbOI5ubrO66U7Rf5_LVlSXPKjo4w_f9wFgG6MDjCk_bE2qCCKoIpRJKZfAOhZMVKJBj8s_9mtgK-cxKoPiWtZ0FaxRWnPcNPU6uL0bus4GONU-9DZn2McyRQdfffYxQBf7Pr75MIJ56oOFeUgjm96P4ByOofBWpzCDPsBOp-dQTjfBitN9tluf6wZ4OD-7P72srm8urk5PrquWET6rnOXCUsaJE85p3JmaMM65FLgugMRtbVjTtppQIQ1BTDgksXEd4li33Ai6AY4XudOhndjO2DBLulfT5Cc6vauovfp9E_yTGsVXJSSmlOISsPcZkOLLYPNMTXw2tu91sHHIitSlfVRKNkd3_6DjOKRQylOEYSJI0zS8UIcLyqTSxWTd92cwUnNlqihTc2Vqoay82PlZwzf_JagA-wugnYz_TfsAnOagDg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2512729996</pqid></control><display><type>article</type><title>Sudden painless loss of vision following spine surgery: lessons learnt in darkness</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Nalli, Uvaraj R ; Aju, Bosco ; Ramakrishnan, Eswar ; Muthu, Sathish</creator><creatorcontrib>Nalli, Uvaraj R ; Aju, Bosco ; Ramakrishnan, Eswar ; Muthu, Sathish</creatorcontrib><description>A 26-year-old male driver presented with a history of pain in the neck for the past 1 week following trauma due to a road traffic accident. The patient had no neurological deficit. He had type 1 diabetes and was on regular oral hypoglycemics. After radiological investigations, the patient was diagnosed to have traumatic AO Spine Classification type C translational injury involving anterolisthesis of C6 over C7. After a detailed preoperative assessment, the patient was taken up for surgery. The patient underwent posterior stabilisation with instrumentation from C5 to T2. On extubation from anaesthesia, he immediately complained of complete painless loss of this vision in his left eye. Ophthalmological investigations attributed the cause to be due to central retinal artery occlusion. The patient was discharged with reassurance on the 20th postoperative day with minimal improvement in his vision and at 6-month follow-up, his vision improved to 1/60 and was advised for close follow-up.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2020-235888</identifier><identifier>PMID: 33461994</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Anemia ; Anesthesia ; Back surgery ; Blood pressure ; Case Report ; Case reports ; Cervical Vertebrae - injuries ; Cervical Vertebrae - surgery ; Diabetes ; Humans ; Hypertension ; Hypotension ; Male ; Medical imaging ; Pathophysiology ; Postoperative Complications - diagnosis ; Retinal Artery Occlusion - diagnosis ; Retinal Artery Occlusion - etiology ; Spinal Injuries - diagnosis ; Spinal Injuries - surgery ; Thromboembolism ; Trauma ; Veins & arteries ; Vision Disorders - diagnosis ; Vision Disorders - etiology</subject><ispartof>BMJ case reports, 2021-01, Vol.14 (1), p.e235888</ispartof><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b526t-fe67e3562f7ffa1dc4256668714b5281b4c59bba2378c2057f081cfd061ab6c73</citedby><cites>FETCH-LOGICAL-b526t-fe67e3562f7ffa1dc4256668714b5281b4c59bba2378c2057f081cfd061ab6c73</cites><orcidid>0000-0002-7143-4354</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813331/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813331/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33461994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nalli, Uvaraj R</creatorcontrib><creatorcontrib>Aju, Bosco</creatorcontrib><creatorcontrib>Ramakrishnan, Eswar</creatorcontrib><creatorcontrib>Muthu, Sathish</creatorcontrib><title>Sudden painless loss of vision following spine surgery: lessons learnt in darkness</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>A 26-year-old male driver presented with a history of pain in the neck for the past 1 week following trauma due to a road traffic accident. The patient had no neurological deficit. He had type 1 diabetes and was on regular oral hypoglycemics. After radiological investigations, the patient was diagnosed to have traumatic AO Spine Classification type C translational injury involving anterolisthesis of C6 over C7. After a detailed preoperative assessment, the patient was taken up for surgery. The patient underwent posterior stabilisation with instrumentation from C5 to T2. On extubation from anaesthesia, he immediately complained of complete painless loss of this vision in his left eye. Ophthalmological investigations attributed the cause to be due to central retinal artery occlusion. The patient was discharged with reassurance on the 20th postoperative day with minimal improvement in his vision and at 6-month follow-up, his vision improved to 1/60 and was advised for close follow-up.</description><subject>Adult</subject><subject>Anemia</subject><subject>Anesthesia</subject><subject>Back surgery</subject><subject>Blood pressure</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cervical Vertebrae - injuries</subject><subject>Cervical Vertebrae - surgery</subject><subject>Diabetes</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypotension</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Pathophysiology</subject><subject>Postoperative Complications - diagnosis</subject><subject>Retinal Artery Occlusion - diagnosis</subject><subject>Retinal Artery Occlusion - etiology</subject><subject>Spinal Injuries - diagnosis</subject><subject>Spinal Injuries - surgery</subject><subject>Thromboembolism</subject><subject>Trauma</subject><subject>Veins & arteries</subject><subject>Vision Disorders - diagnosis</subject><subject>Vision Disorders - etiology</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1LBCEYhyWKiurcLYQuEUz5MX5MhyCiLwiCPqCbOI5ubrO66U7Rf5_LVlSXPKjo4w_f9wFgG6MDjCk_bE2qCCKoIpRJKZfAOhZMVKJBj8s_9mtgK-cxKoPiWtZ0FaxRWnPcNPU6uL0bus4GONU-9DZn2McyRQdfffYxQBf7Pr75MIJ56oOFeUgjm96P4ByOofBWpzCDPsBOp-dQTjfBitN9tluf6wZ4OD-7P72srm8urk5PrquWET6rnOXCUsaJE85p3JmaMM65FLgugMRtbVjTtppQIQ1BTDgksXEd4li33Ai6AY4XudOhndjO2DBLulfT5Cc6vauovfp9E_yTGsVXJSSmlOISsPcZkOLLYPNMTXw2tu91sHHIitSlfVRKNkd3_6DjOKRQylOEYSJI0zS8UIcLyqTSxWTd92cwUnNlqihTc2Vqoay82PlZwzf_JagA-wugnYz_TfsAnOagDg</recordid><startdate>20210118</startdate><enddate>20210118</enddate><creator>Nalli, Uvaraj R</creator><creator>Aju, Bosco</creator><creator>Ramakrishnan, Eswar</creator><creator>Muthu, Sathish</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7143-4354</orcidid></search><sort><creationdate>20210118</creationdate><title>Sudden painless loss of vision following spine surgery: lessons learnt in darkness</title><author>Nalli, Uvaraj R ; Aju, Bosco ; Ramakrishnan, Eswar ; Muthu, Sathish</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b526t-fe67e3562f7ffa1dc4256668714b5281b4c59bba2378c2057f081cfd061ab6c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Anemia</topic><topic>Anesthesia</topic><topic>Back surgery</topic><topic>Blood pressure</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Cervical Vertebrae - injuries</topic><topic>Cervical Vertebrae - surgery</topic><topic>Diabetes</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypotension</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Pathophysiology</topic><topic>Postoperative Complications - diagnosis</topic><topic>Retinal Artery Occlusion - diagnosis</topic><topic>Retinal Artery Occlusion - etiology</topic><topic>Spinal Injuries - diagnosis</topic><topic>Spinal Injuries - surgery</topic><topic>Thromboembolism</topic><topic>Trauma</topic><topic>Veins & arteries</topic><topic>Vision Disorders - diagnosis</topic><topic>Vision Disorders - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nalli, Uvaraj R</creatorcontrib><creatorcontrib>Aju, Bosco</creatorcontrib><creatorcontrib>Ramakrishnan, Eswar</creatorcontrib><creatorcontrib>Muthu, Sathish</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nalli, Uvaraj R</au><au>Aju, Bosco</au><au>Ramakrishnan, Eswar</au><au>Muthu, Sathish</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sudden painless loss of vision following spine surgery: lessons learnt in darkness</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2021-01-18</date><risdate>2021</risdate><volume>14</volume><issue>1</issue><spage>e235888</spage><pages>e235888-</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>A 26-year-old male driver presented with a history of pain in the neck for the past 1 week following trauma due to a road traffic accident. The patient had no neurological deficit. He had type 1 diabetes and was on regular oral hypoglycemics. After radiological investigations, the patient was diagnosed to have traumatic AO Spine Classification type C translational injury involving anterolisthesis of C6 over C7. After a detailed preoperative assessment, the patient was taken up for surgery. The patient underwent posterior stabilisation with instrumentation from C5 to T2. On extubation from anaesthesia, he immediately complained of complete painless loss of this vision in his left eye. Ophthalmological investigations attributed the cause to be due to central retinal artery occlusion. The patient was discharged with reassurance on the 20th postoperative day with minimal improvement in his vision and at 6-month follow-up, his vision improved to 1/60 and was advised for close follow-up.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>33461994</pmid><doi>10.1136/bcr-2020-235888</doi><orcidid>https://orcid.org/0000-0002-7143-4354</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1757-790X |
| ispartof | BMJ case reports, 2021-01, Vol.14 (1), p.e235888 |
| issn | 1757-790X 1757-790X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7813331 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adult Anemia Anesthesia Back surgery Blood pressure Case Report Case reports Cervical Vertebrae - injuries Cervical Vertebrae - surgery Diabetes Humans Hypertension Hypotension Male Medical imaging Pathophysiology Postoperative Complications - diagnosis Retinal Artery Occlusion - diagnosis Retinal Artery Occlusion - etiology Spinal Injuries - diagnosis Spinal Injuries - surgery Thromboembolism Trauma Veins & arteries Vision Disorders - diagnosis Vision Disorders - etiology |
| title | Sudden painless loss of vision following spine surgery: lessons learnt in darkness |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-14T09%3A23%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sudden%20painless%20loss%20of%20vision%20following%20spine%20surgery:%20lessons%20learnt%20in%20darkness&rft.jtitle=BMJ%20case%20reports&rft.au=Nalli,%20Uvaraj%20R&rft.date=2021-01-18&rft.volume=14&rft.issue=1&rft.spage=e235888&rft.pages=e235888-&rft.issn=1757-790X&rft.eissn=1757-790X&rft_id=info:doi/10.1136/bcr-2020-235888&rft_dat=%3Cproquest_pubme%3E2512729996%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2512729996&rft_id=info:pmid/33461994&rfr_iscdi=true |