Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report
Abstract Background Patients who experience angina and acute myocardial infarction often receive diagnostic coronary angiography and percutaneous coronary intervention. Case presentation A 54-year-old Persian man with acute coronary syndrome was admitted to the hospital and underwent elective percut...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-04124-4 |
| _version_ | 1797452505894879232 |
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| author | Ali Asghar Farsavian Mahya Mobinikhaledi Parastoo Ghorbani Erfan Ghadirzadeh |
| author_facet | Ali Asghar Farsavian Mahya Mobinikhaledi Parastoo Ghorbani Erfan Ghadirzadeh |
| author_sort | Ali Asghar Farsavian |
| collection | DOAJ |
| description | Abstract Background Patients who experience angina and acute myocardial infarction often receive diagnostic coronary angiography and percutaneous coronary intervention. Case presentation A 54-year-old Persian man with acute coronary syndrome was admitted to the hospital and underwent elective percutaneous coronary intervention. Two hours after the procedure, the patient experienced ophthalmoplegia and diplopia. The diagnosis was abducens nerve palsy resulting in transient lateral rectus palsy. The cause is presumed to have been an ischemic event affecting the unilateral abducens nerve. This could have occurred owing to the microembolism during the percutaneous coronary intervention, which resulted in left lateral rectus palsy. Within 1 month, the diplopia was relieved completely, and the physical examination was normal. Conclusion The occurrence of neuro-ophthalmic complications that may arise from percutaneous coronary intervention is extremely rare. To our knowledge, this is the second reported case of unilateral rectus palsy associated with percutaneous coronary intervention. |
| first_indexed | 2024-03-09T15:09:39Z |
| format | Article |
| id | doaj.art-47adf3bd738647159a9ad80b84eac0e1 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-03-09T15:09:39Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-47adf3bd738647159a9ad80b84eac0e12023-11-26T13:26:21ZengBMCJournal of Medical Case Reports1752-19472023-09-011711410.1186/s13256-023-04124-4Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case reportAli Asghar Farsavian0Mahya Mobinikhaledi1Parastoo Ghorbani2Erfan Ghadirzadeh3Department of Cardiology, Cardiovascular Research Center, Mazandaran University of Medical SciencesDepartment of Cardiology, Faculty of Medicine, Arak University of Medical SciencesDepartment of Internal Medicine, Faculty of Medicine, Mazandaran University of Medical SciencesDepartment of Cardiology, Cardiovascular Research Center, Mazandaran University of Medical SciencesAbstract Background Patients who experience angina and acute myocardial infarction often receive diagnostic coronary angiography and percutaneous coronary intervention. Case presentation A 54-year-old Persian man with acute coronary syndrome was admitted to the hospital and underwent elective percutaneous coronary intervention. Two hours after the procedure, the patient experienced ophthalmoplegia and diplopia. The diagnosis was abducens nerve palsy resulting in transient lateral rectus palsy. The cause is presumed to have been an ischemic event affecting the unilateral abducens nerve. This could have occurred owing to the microembolism during the percutaneous coronary intervention, which resulted in left lateral rectus palsy. Within 1 month, the diplopia was relieved completely, and the physical examination was normal. Conclusion The occurrence of neuro-ophthalmic complications that may arise from percutaneous coronary intervention is extremely rare. To our knowledge, this is the second reported case of unilateral rectus palsy associated with percutaneous coronary intervention.https://doi.org/10.1186/s13256-023-04124-4Abducens nerve diseaseAcute coronary syndromePercutaneous coronary interventionComplicationCase report |
| spellingShingle | Ali Asghar Farsavian Mahya Mobinikhaledi Parastoo Ghorbani Erfan Ghadirzadeh Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report Journal of Medical Case Reports Abducens nerve disease Acute coronary syndrome Percutaneous coronary intervention Complication Case report |
| title | Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report |
| title_full | Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report |
| title_fullStr | Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report |
| title_full_unstemmed | Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report |
| title_short | Transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention: a case report |
| title_sort | transient lateral rectus palsy associated with acute coronary syndrome treated with percutaneous coronary intervention a case report |
| topic | Abducens nerve disease Acute coronary syndrome Percutaneous coronary intervention Complication Case report |
| url | https://doi.org/10.1186/s13256-023-04124-4 |
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