Incidental Transient Cortical Blindness after Lung Resection
Küçük Resim Yok
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
THIEME MEDICAL PUBL INC
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Transient vision loss after major surgical procedures is a rare clinical complication. The most common etiologies are cardiac, spinal, head, and neck surgeries. There has been no report on vision loss after lung resection. A 65-year-old man was admitted to our clinic with lung cancer. Resection was performed using right upper lobectomy with no complications. Cortical blindness developed 12 hours later in the postoperative period. Results from magnetic resonance imaging and diffusion-weighted investigations were normal. The neurologic examination was normal. The blood glucose level was 92 mg/dL and blood gas analysis showed a PO2 of 82 mmHg. After 24 hours, the patient began to see and could count fingers, and his vision was fully restored within 72 hours after this point. Autonomic dysfunction due to impaired microvascular structures in diabetes mellitus may induce posterior circulation dysfunction, even when the hemodynamic state is normal in the perioperative period. The physician must keep in mind that vision loss may occur after lung resection due to autonomic dysfunction, especially in older patients with diabetes mellitus.
Açıklama
Anahtar Kelimeler
vision loss, cortical blindness, lung resection, diabetes mellitus, cerebral hypoxia
Kaynak
SURGERY JOURNAL
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
2
Sayı
1
