Display options
Cite
Kiyofuji S, Inoue T, Shigeeda T, et al. Emergent cervical surgical embolectomy to rescue total monocular blindness due to simultaneous cervical internal and external carotid artery occlusion by cardiogenic emboli. Surg Neurol Int. 2015;6:29doi: 10.4103/2152-7806.151612.
Kiyofuji, S., Inoue, T., Shigeeda, T., Sugiura, T., Tamura, A., & Saito, I. (2015). Emergent cervical surgical embolectomy to rescue total monocular blindness due to simultaneous cervical internal and external carotid artery occlusion by cardiogenic emboli. Surgical neurology international, 629. https://doi.org/10.4103/2152-7806.151612
Kiyofuji, Satoshi, et al. "Emergent cervical surgical embolectomy to rescue total monocular blindness due to simultaneous cervical internal and external carotid artery occlusion by cardiogenic emboli." Surgical neurology international vol. 6 (2015): 29. doi: https://doi.org/10.4103/2152-7806.151612
Kiyofuji S, Inoue T, Shigeeda T, Sugiura T, Tamura A, Saito I. Emergent cervical surgical embolectomy to rescue total monocular blindness due to simultaneous cervical internal and external carotid artery occlusion by cardiogenic emboli. Surg Neurol Int. 2015 Feb 18;6:29. doi: 10.4103/2152-7806.151612. eCollection 2015. PMID: 25737799; PMCID: PMC4345628.
Copy Download .nbib Format: NLM
Share it on

Surg Neurol Int. 2015 Feb 18;6:29. doi: 10.4103/2152-7806.151612. eCollection 2015.

Emergent cervical surgical embolectomy to rescue total monocular blindness due to simultaneous cervical internal and external carotid artery occlusion by cardiogenic emboli.

Surgical neurology international

Satoshi Kiyofuji, Tomohiro Inoue, Takashi Shigeeda, Takeshi Sugiura, Akira Tamura, Isamu Saito

Affiliations

  1. Department of Neurosurgery, Fuji Brain Institute and Hospital, 270-12 Sugita, Fujinomiya City, Shizuoka, 418-0021, Japan.
  2. Department of Opthalmology, Sugiura Eye Clinic, 22 Kawanarishinmachi, Fuji City, Shizuoka, 416-0955, Japan.

PMID: 25737799 PMCID: PMC4345628 DOI: 10.4103/2152-7806.151612

Abstract

BACKGROUND: Central retinal artery occlusion (CRAO) is a stroke of the retina and is associated with extremely poor prognosis. Although the pathophysiology of CRAO is diverse, including autoimmune or hematological disorders, neurosurgeons can perform carotid endarterectomy for the causal internal carotid artery stenosis or perform acute recanalization of the extra- or intracranial artery occlusion due to cardiogenic embolism.

CASE DESCRIPTION: A 78-year-old male with a history of atrial fibrillation (Af) visited our hospital with a chief complaint of right monocular blindness. Magnetic resonance imaging revealed occlusion of the right internal and external carotid arteries. We performed emergent cervical surgical embolectomy for restoration of vision. Recanalization was accomplished within 8 h after onset, and the patient regained practical vision within 4 months.

CONCLUSION: In the diagnosis and treatment of CRAO, occlusion of the internal and/or external carotid artery due to large cardiac emboli should be taken in consideration, especially when the patient has a history of Af, since acute recanalization might restore vision.

Keywords: Acute ischemic stroke; atrial fibrillation; carotid artery occlusion; central retinal artery occlusion; retina; surgical embolectomy

References

  1. Am J Ophthalmol. 2005 Sep;140(3):376-91 - PubMed
  2. Ophthalmology. 1980 Jan;87(1):75-8 - PubMed
  3. AJNR Am J Neuroradiol. 2005 Sep;26(8):2086-94 - PubMed
  4. Cerebrovasc Dis. 2001 Aug;12 (2):108-13 - PubMed
  5. Ophthalmology. 2010 Jul;117(7):1367-75.e1 - PubMed
  6. J Neurol Neurosurg Psychiatry. 1993 Mar;56(3):234-40 - PubMed
  7. Stroke. 2013 Nov;44(11):3071-7 - PubMed
  8. Br J Ophthalmol. 1980 Nov;64(11):818-25 - PubMed
  9. Br J Surg. 1963 Nov;50:938-53 - PubMed
  10. Curr Treat Options Neurol. 2013 Feb;15(1):63-77 - PubMed
  11. J Pediatr Ophthalmol Strabismus. 1988 Mar-Apr;25(2):55-9 - PubMed
  12. Nippon Ganka Gakkai Zasshi. 1991 Jan;95(1):67-72 - PubMed
  13. Exp Eye Res. 2004 Mar;78(3):723-36 - PubMed
  14. Stroke. 2004 May;35(5):e100-2 - PubMed
  15. Stroke. 2011 Aug;42(8):2229-34 - PubMed
  16. J Neurointerv Surg. 2015 Oct;7(10 ):709-14 - PubMed
  17. Ann Emerg Med. 2001 Sep;38(3):332-5 - PubMed
  18. Curr Opin Ophthalmol. 2003 Jun;14(3):139-41 - PubMed
  19. J Neuroophthalmol. 2005 Dec;25(4):304-12 - PubMed
  20. Stroke. 2013 May;44(5):1449-52 - PubMed
  21. Emerg Med Clin North Am. 1995 Aug;13(3):539-60 - PubMed
  22. J Neuroophthalmol. 2005 Dec;25(4):299-302 - PubMed
  23. J Neurol Sci. 2007 Jun 15;257(1-2):143-8 - PubMed
  24. Surv Ophthalmol. 2013 Jan-Feb;58(1):42-62 - PubMed
  25. Stroke. 2012 Sep;43(9):2362-8 - PubMed

Publication Types