Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14110%2F23%3A00130156" target="_blank" >RIV/00216224:14110/23:00130156 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.sciencedirect.com/science/article/pii/S2214751922002195" target="_blank" >https://www.sciencedirect.com/science/article/pii/S2214751922002195</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.inat.2022.101705" target="_blank" >10.1016/j.inat.2022.101705</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report

Popis výsledku v původním jazyce

Background: Meningiomas are the most common benign intracranial tumors. Standard treatment of symptomatic meningiomas is microsurgical resection. Surgically, convexity meningiomas are simple to remove with low complication rate. This paper describes a rare and unexpected postoperative complication - orbital compartment syndrome, including blindness after convexity meningioma resection. We believe it to be caused by unintended interruption of atypical venous outflow route from the orbit which was formed due to meningioma presence.Case Description: We present the case of a 53-year-old woman with a history of approximately 10 years of cognitive impairment and worsening prefrontal syndrome. MRI scan revealed right-sided frontal convexity meningioma (7x6x6.5 cm) with significant expansive behaviour. The patient underwent microsurgical resection with no intraoperative complications. In the immediate postoperative period, there was a rapid development of orbital compartment syndrome: complete ophthalmoplegia, vision loss, periorbital edema, exophthalmos, and chemosis.Conclusions: Large frontal convexity meningiomas, long term clinically silent, can cause chronically increased intracranial pressure which may lead to the formation of alternative routes for venous drainage from the orbit. If such created veins run through diploe of cranium above the meningioma, they might be interrupted during the craniotomy, and this may result in orbital compartment syndrome. Awareness of this rare complication may help to avoid it, since treatment options are limited.

Název v anglickém jazyce

Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report

Popis výsledku anglicky

Background: Meningiomas are the most common benign intracranial tumors. Standard treatment of symptomatic meningiomas is microsurgical resection. Surgically, convexity meningiomas are simple to remove with low complication rate. This paper describes a rare and unexpected postoperative complication - orbital compartment syndrome, including blindness after convexity meningioma resection. We believe it to be caused by unintended interruption of atypical venous outflow route from the orbit which was formed due to meningioma presence.Case Description: We present the case of a 53-year-old woman with a history of approximately 10 years of cognitive impairment and worsening prefrontal syndrome. MRI scan revealed right-sided frontal convexity meningioma (7x6x6.5 cm) with significant expansive behaviour. The patient underwent microsurgical resection with no intraoperative complications. In the immediate postoperative period, there was a rapid development of orbital compartment syndrome: complete ophthalmoplegia, vision loss, periorbital edema, exophthalmos, and chemosis.Conclusions: Large frontal convexity meningiomas, long term clinically silent, can cause chronically increased intracranial pressure which may lead to the formation of alternative routes for venous drainage from the orbit. If such created veins run through diploe of cranium above the meningioma, they might be interrupted during the craniotomy, and this may result in orbital compartment syndrome. Awareness of this rare complication may help to avoid it, since treatment options are limited.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30210 - Clinical neurology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT

ISSN

2214-7519

e-ISSN

2214-7519

Svazek periodika

32

Číslo periodika v rámci svazku

June 2023

Stát vydavatele periodika

NL - Nizozemsko

Počet stran výsledku

4

Strana od-do

1-4

Kód UT WoS článku

001009459300001

EID výsledku v databázi Scopus

2-s2.0-85148087225