Vol 15, No 6 (2020)
Case report
Published online: 2020-12-31
Unilateral palsy of the oculomotor nerve accompanied by acute ischemic stroke after coronary angiography
DOI: 10.5603/FC.2020.0066
Folia Cardiologica 2020;15(6):437-440.
Abstract
The paper presents a description of a 75-year-old female patient with arterial hypertension, diabetes mellitus 2, connective tissue disease admitted to the Department of Cardiology due to unstable angina. Immediately after coronary angiography, the patient developed nystagmus, and double vision of the left eye — paralysis of the lower branch of the left oculomotor nerve was diagnosed. Despite the commonness of coronary angiography procedures performed in the world, eye complications are rarely reported.
Keywords: coronary angiographyoculomotor nerve palsyischemic stroke
References
- Post M, Poncyljusz W, Kiszkielis A, et al. Porażenie nerwu okoruchowego w przebiegu tętniaka tętnicy szyjnej wewnętrznej — opis przypadku. OphthaTherapy. 2018; 2: 79–83.
- Kline LB, Foroozan R. Neuro-ophthalmology review manual. Ed. 7th. Slack, New York : 90.
- Kubica J, Gil R, Pieniążek P. Wytyczne dotyczące koronarografii. Kardiol Pol. 2005; 63(5 Suppl 3): S 491–S 500.
- Généreux P, Mehran R, Leon MB, et al. Classification for assessing the quality of diagnostic coronary angiography. J Invasive Cardiol. 2017; 29(12): 417–420.
- Kennedy JW. Complications associated with cardiac catheterization and angiography. Cathet Cardiovasc Diagn. 1982; 8(1): 5–11.
- Drummond GT, Wuebbolt G. Bilateral ophthalmoplegia during percutaneous transluminal coronary angioplasty. Can J Ophthalmol. 1990; 25(3): 152–155.
- Kinoshita N, Kakehashi A, Yasu T, et al. A new form of retinopathy associated with myocardial infarction treated with percutaneous coronary intervention. Br J Ophthalmol. 2004; 88(4): 494–496.
- Bucci FA, Dimitsopulos TM, Krohel GB. Branch retinal artery occlusion secondary to percutaneous transluminal coronary angioplasty. Br J Ophthalmol. 1989; 73(4): 309–310.
- Eggenberger ER, Desai NP, Kaufman DI, et al. Internuclear ophthalmoplegia after coronary artery catheterization and percutaneous transluminal coronary balloon angioplasty. J Neuroophthalmol. 2000; 20(2): 123–126.
- Mahagne MH, Dunac A, Bedoucha P, et al. Isolated ischemic third-nerve palsy as a warning sign of severe internal carotid artery stenosis. Cerebrovasc Dis. 2002; 14(3-4): 264–265.
