- 期刊
- OpenAccess
Acute Postoperative Visual Loss Due to Occipital Arteriovenous Malformation Rupture During Anesthesia
摘要
We report a case of occipital arteriovenous malformation (AVM) rupture during anaesthesia, causing post-operative visual loss in a 43-year-old man with American Society of Anesthesiologist class I. He was scheduled for an operation for the correction of right index deformity. He was a healthy, middle-sized man without any previous systemic disease. He had sustained a cutting injury to the right index finger 1 year ago and had undergone microsurgery. As he was unsatisfied with the surgical results, he was arranged for another correction surgery. After the 2-h surgery, he recovered from anaesthesia, but complained of a mild headache over the occipital region. He left the post-operative recovery room thereafter and was discharged the next day. Three days later, he came to our surgical outpatient department for follow-up. He complained of blurred vision since the surgery. The ophthalmologist found left-sided homonymous visual field loss with incomplete hemianopia. He was referred to the neurological section and after a series of examinations including brain computed tomography, the diagnosis of AVM rupture in the right occipital region was confirmed.
延伸閱讀
- Wang, T. J., Jou, J. R., Woung, L. C., Shih, Y. F., & Lin, L. L. K. (2005). Ophthalmic Manifestations of Intracranial Dural Arteriovenous Fistula-Report of Four Cases. 慈濟醫學雜誌, 17(2), 93-97. https://doi.org/10.6440/TZUCMJ.200502.0093
- 蔡昆哲、方信雄、喻大有、林明鴻、胡舜閔、黃仁勇（2013）。Ophthalmologic Complications after Inferior Alveolar Nerve Block Anesthesia。中華民國家庭牙醫學雜誌，7(4)，25-32。https://doi.org/10.6566/JFD/2013.7(4).25
- Hung, N. K., Lee, C. H., Chan, S. M., Yeh, C. C., Cherng, C. H., Wong, C. S., & Wu, C. T. (2009). Transient Unilateral Hypoglossal Nerve Palsy after Orotracheal Intubation for General Anesthesia. Acta Anaesthesiologica Taiwanica, 47(1), 48-50. https://www.airitilibrary.com/Article/Detail?DocID=02541319-200903-47-1-48-50-a
- Hung, C. M., Kang, H. M., Shen, C. H., Yang, T. C., Wu, C. C., & Ho, W. M. (2002). Contralateral Neurologic Deficits Following Microvascular Decompression Surgery-A Case Report. Acta Anaesthesiologica Sinica, 40(2), 91-95. https://doi.org/10.6955/AAS.200206.0091
- Huang, C. T., Hsu, C. S., Chen, J. Y., & Yeh, F. C. (2004). Acute Mental Disturbance after Intrathecal Morphine in Obsteric Anesthesia - A case Report. 疼痛醫學雜誌, 14(1), 38-41. https://www.airitilibrary.com/Article/Detail?DocID=10217959-200403-14-1-38-41-a