Bilateral gradual cortical blindness due to hemodynamic stroke: A case report
Cortical blindness refers to the loss of vision caused by a lesion affecting the geniculate calcarine visual pathway. Bilateral occipital lobe infarctions in the vascular territory of the posterior cerebral arteries are the most common cause of cortical blindness. However, bilateral cortical blindne...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-05-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323001012 |
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| author | Adelheid Loraine Erensina Rumbiak, MD Achmad Firdaus Sani, MD Dedy Kurniawan, MD Ida Ahadiyati, MD |
| author_facet | Adelheid Loraine Erensina Rumbiak, MD Achmad Firdaus Sani, MD Dedy Kurniawan, MD Ida Ahadiyati, MD |
| author_sort | Adelheid Loraine Erensina Rumbiak, MD |
| collection | DOAJ |
| description | Cortical blindness refers to the loss of vision caused by a lesion affecting the geniculate calcarine visual pathway. Bilateral occipital lobe infarctions in the vascular territory of the posterior cerebral arteries are the most common cause of cortical blindness. However, bilateral cortical blindness gradual is rarely reported. Gradual bilateral blindness usually occurs in lesions other than stroke, such as tumors. We report a case of a patient with gradual cortical blindness caused by a nonocclusive stroke caused by hemodynamic compromise. A 54-year-old man diagnosed with bilateral cerebral ischemia after complaining of bilateral gradual vision loss and headache for 1 month. Initially, he only complained of blurred vision with >2/60 vision. However, his visual acuity worsened until he could only see hand movements and only light perception later on (with visual acuity of 1/∼). A computed tomography scan of the head revealed a bilateral occipital infarction, and cerebral angiography revealed multiple stenoses and near-total occlusion of the left vertebral artery ostium, underwent angioplasty and stenting. He has received dual antiplatelet and antihypertensive treatment. He got visual improvement with visual acuity 2/300 after 3 months of the treatment and procedure. Gradual cortical blindness caused by hemodynamic stroke is rare. The most common cause of posterior cerebral arteries infarction is embolism from the heart or vertebrobasilar circulation. With proper management and focusing on treating the etiology of these patients, vision improvements can be obtained in these patients. |
| first_indexed | 2024-04-09T20:08:31Z |
| format | Article |
| id | doaj.art-3b35f2e510ee4fd7999d54249d82a94e |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-09T20:08:31Z |
| publishDate | 2023-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-3b35f2e510ee4fd7999d54249d82a94e2023-04-01T08:46:14ZengElsevierRadiology Case Reports1930-04332023-05-0118516571661Bilateral gradual cortical blindness due to hemodynamic stroke: A case reportAdelheid Loraine Erensina Rumbiak, MD0Achmad Firdaus Sani, MD1Dedy Kurniawan, MD2Ida Ahadiyati, MD3Department Neurology, Faculty of Medicine, Airlangga University, Surabaya 60286, East Java, Indonesia; Dr Soetomo General Hospital, Surabaya 60286, East Java, IndonesiaDepartment Neurology, Faculty of Medicine, Airlangga University, Surabaya 60286, East Java, Indonesia; Dr Soetomo General Hospital, Surabaya 60286, East Java, Indonesia; Corresponding author.Department Neurology, Faculty of Medicine, Airlangga University, Surabaya 60286, East Java, Indonesia; Dr Soetomo General Hospital, Surabaya 60286, East Java, IndonesiaDepartment Neurology, Faculty of Medicine, Airlangga University, Surabaya 60286, East Java, Indonesia; Dr Soetomo General Hospital, Surabaya 60286, East Java, IndonesiaCortical blindness refers to the loss of vision caused by a lesion affecting the geniculate calcarine visual pathway. Bilateral occipital lobe infarctions in the vascular territory of the posterior cerebral arteries are the most common cause of cortical blindness. However, bilateral cortical blindness gradual is rarely reported. Gradual bilateral blindness usually occurs in lesions other than stroke, such as tumors. We report a case of a patient with gradual cortical blindness caused by a nonocclusive stroke caused by hemodynamic compromise. A 54-year-old man diagnosed with bilateral cerebral ischemia after complaining of bilateral gradual vision loss and headache for 1 month. Initially, he only complained of blurred vision with >2/60 vision. However, his visual acuity worsened until he could only see hand movements and only light perception later on (with visual acuity of 1/∼). A computed tomography scan of the head revealed a bilateral occipital infarction, and cerebral angiography revealed multiple stenoses and near-total occlusion of the left vertebral artery ostium, underwent angioplasty and stenting. He has received dual antiplatelet and antihypertensive treatment. He got visual improvement with visual acuity 2/300 after 3 months of the treatment and procedure. Gradual cortical blindness caused by hemodynamic stroke is rare. The most common cause of posterior cerebral arteries infarction is embolism from the heart or vertebrobasilar circulation. With proper management and focusing on treating the etiology of these patients, vision improvements can be obtained in these patients.http://www.sciencedirect.com/science/article/pii/S1930043323001012Cortical blindnessHemodynamic strokeCerebral angiography |
| spellingShingle | Adelheid Loraine Erensina Rumbiak, MD Achmad Firdaus Sani, MD Dedy Kurniawan, MD Ida Ahadiyati, MD Bilateral gradual cortical blindness due to hemodynamic stroke: A case report Radiology Case Reports Cortical blindness Hemodynamic stroke Cerebral angiography |
| title | Bilateral gradual cortical blindness due to hemodynamic stroke: A case report |
| title_full | Bilateral gradual cortical blindness due to hemodynamic stroke: A case report |
| title_fullStr | Bilateral gradual cortical blindness due to hemodynamic stroke: A case report |
| title_full_unstemmed | Bilateral gradual cortical blindness due to hemodynamic stroke: A case report |
| title_short | Bilateral gradual cortical blindness due to hemodynamic stroke: A case report |
| title_sort | bilateral gradual cortical blindness due to hemodynamic stroke a case report |
| topic | Cortical blindness Hemodynamic stroke Cerebral angiography |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323001012 |
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