Cegueira cortical transitória após angiografia cerebral: relato de um caso

Lynch, José Carlos; Pereira, Aluisio

doi:10.1590/S0004-282X1984000300016

Resumos

É apresentado um caso de cegueira cortical transitória pós angiografia cerebral. A análise dos casos publicados revela que o volume de contraste empregado variou de 7 a 290ml, que a amaurose durou entre duas horas e vários dias, que o sintoma se instalou desde minutos até 15 horas após o término do exame. A artéria vertebral foi mais envolvida do que a carótida. A causa mais provável desta complicação é a toxicidade ao meio de contraste em contacto com o córtex visual.

A case of temporary cortical blindness following cerebral angiography is presented and discussed. The etiology of this rare complication is not completly understood. Problably the blindness is secondary to the direct effect of the contrast medium in the blood-brain-barrier in the striate cortex.

Cegueira cortical transitória após angiografia cerebral: relato de um caso

Temporary cortical blindness following cerebral angiography: report of a case

José Carlos Lynch^I; Aluisio Pereira^II

^INeurocirurgião. Hospital São Lucas, Rio de Janeiro

^IINeurorradiologista. Hospital São Lucas, Rio de Janeiro

RESUMO

É apresentado um caso de cegueira cortical transitória pós angiografia cerebral. A análise dos casos publicados revela que o volume de contraste empregado variou de 7 a 290ml, que a amaurose durou entre duas horas e vários dias, que o sintoma se instalou desde minutos até 15 horas após o término do exame. A artéria vertebral foi mais envolvida do que a carótida. A causa mais provável desta complicação é a toxicidade ao meio de contraste em contacto com o córtex visual.

SUMMARY

A case of temporary cortical blindness following cerebral angiography is presented and discussed. The etiology of this rare complication is not completly understood. Problably the blindness is secondary to the direct effect of the contrast medium in the blood-brain-barrier in the striate cortex.

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1. BASSET, R. C; ROGERS, J. S.; CHERRY, G. R. & GRUZHIT, C. - The effects of contrast media on the blood-brain-barrier. J. Neurosurg 10:38, 1983.
2. DRAYER, B. P.; VASSALO, C; SUDILOUSKY, A.; LUTHER, J. S.; WILKINS, R. H.; ALLEN, S. & BATES, M. - A double-blind clinical trial of iopamidol versus metrizamide for 1. mbosacral myelography. J. Neurosurg 58:531, 1983.
3. FISCHER-WILLIAMS, M.; GOTTSCHALK, P. G. & BROWELL, J. N. - Transient cortical blindness. An unsual complication of coronary angiography. Neurology (Minneapolis) 20:353, 1970.
4. HANEY, W. P. & PRESTON, R. E. - Ocular complications of carotid arteriography in carotid occlusive disease. Arch. Ophthalm. 67:33, 1962.
5. HORWITZ, N. H. & WENER, L. - Temporary cortical blindness following angiography. J. Neurosurg 40:583, 1974.
6. HOWLAND, W. J. & CURRY, J. L. - Transient cerebral blindness-A harzard of vertebral artery catheterization. Radiology 83:428, 1964.
7. HOWlESON, J. - Complications of cerebral angiography. In T. H. Newton & D. G. Potts (eds.): Radiology of the Skull and Brain. C. V. Mosby, Saint Louis, 1974, vol 2, pg 1034.
8. MOEL, D. I. - Cortical blindness as a complication of hemodialysis. J. Pediatr. 93:222, 1978.
9. PRIBRAM, H. F. W. - Complications of angiography in cerebrovascular disease. Radiology 85:33, 1965.
10. KELLY, W.; BRANT-ZAWADZKI, M. & PITTS, L. H. - Arterial injection -digital subtraction angiography. J. Neurosurg. 58:851, 1983.
11. RAPOPORT, S. I. & LEVITAN,, H. - Neurotoxicity of x-ray contrast media. Amer. J. Roentgenol. 122:186, 1974.
12. SILVERMAN, S. M.; BERGMAN, P. S. & BENDER, M. B. - The dynamics of transient cortical blindness. Report of nine episodes following vertebral angiography. Arch. Neurol. 4:333, 1961.
13. STUDDAD, W. E.; DAVIS, D. O. & YOUNG S. W. - Cortical blindness after cerebral angiography. Case report. J. Neurosurg. 54:240, 1981.
14. WISHART, D. L. - Complications in vertebral angiography as compared non-vertebral angiography in 477 studies. Amer. J. Roentgenol. 113:527, 1971.

Datas de Publicação

Publicação nesta coleção
13 Ago 2012
Data do Fascículo
Set 1984

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BASSET, R. C; ROGERS, J. S.; CHERRY, G. R. & GRUZHIT, C. - The effects of contrast media on the blood-brain-barrier. J. Neurosurg 10:38, 1983.

[2] 2. DRAYER, B. P.; VASSALO, C; SUDILOUSKY, A.; LUTHER, J. S.; WILKINS, R. H.; ALLEN, S. & BATES, M. - A double-blind clinical trial of iopamidol versus metrizamide for 1. mbosacral myelography. J. Neurosurg 58:531, 1983.

[3] 3. FISCHER-WILLIAMS, M.; GOTTSCHALK, P. G. & BROWELL, J. N. - Transient cortical blindness. An unsual complication of coronary angiography. Neurology (Minneapolis) 20:353, 1970.

[4] 4. HANEY, W. P. & PRESTON, R. E. - Ocular complications of carotid arteriography in carotid occlusive disease. Arch. Ophthalm. 67:33, 1962.

[5] 5. HORWITZ, N. H. & WENER, L. - Temporary cortical blindness following angiography. J. Neurosurg 40:583, 1974.

[6] 6. HOWLAND, W. J. & CURRY, J. L. - Transient cerebral blindness-A harzard of vertebral artery catheterization. Radiology 83:428, 1964.

[7] 7. HOWlESON, J. - Complications of cerebral angiography. In T. H. Newton & D. G. Potts (eds.): Radiology of the Skull and Brain. C. V. Mosby, Saint Louis, 1974, vol 2, pg 1034.

[8] 8. MOEL, D. I. - Cortical blindness as a complication of hemodialysis. J. Pediatr. 93:222, 1978.

[9] 9. PRIBRAM, H. F. W. - Complications of angiography in cerebrovascular disease. Radiology 85:33, 1965.

[10] 10. KELLY, W.; BRANT-ZAWADZKI, M. & PITTS, L. H. - Arterial injection -digital subtraction angiography. J. Neurosurg. 58:851, 1983.

[11] 11. RAPOPORT, S. I. & LEVITAN,, H. - Neurotoxicity of x-ray contrast media. Amer. J. Roentgenol. 122:186, 1974.

[12] 12. SILVERMAN, S. M.; BERGMAN, P. S. & BENDER, M. B. - The dynamics of transient cortical blindness. Report of nine episodes following vertebral angiography. Arch. Neurol. 4:333, 1961.

[13] 13. STUDDAD, W. E.; DAVIS, D. O. & YOUNG S. W. - Cortical blindness after cerebral angiography. Case report. J. Neurosurg. 54:240, 1981.

[14] 14. WISHART, D. L. - Complications in vertebral angiography as compared non-vertebral angiography in 477 studies. Amer. J. Roentgenol. 113:527, 1971.