Korean J Cerebrovasc Surg.  2006 Sep;8(3):206-209.

Orbital Infarction Syndrome after Surgery for Ruptured Anterior Communicating Artery Aneurysm: Case Reports

Affiliations
  • 1Department of Neurosurgery, St. Mary's Hospital, The Catholic University of Korea, Korea. nsman@chol.com

Abstract

Orbital infarction syndrome is a rare complication of neurosurgical procedures. The authors recently experienced two patients suffered from acute proptosis, ophthalmoplegia, and blindness developed immediately after surgery for ruptured anterior communicating artery aneurysms. Both patients underwent standard frontotemporal craniotomies to clip their aneurysms. Retinal and choroidal nonperfusion, and ophthalmoplegia, which suggested hypoperfusion of the ophthalmic artery and its branches, consistent with the orbital infarction. We report two cases of orbital infarction syndrome and discuss possible mechanism with literature review.

Keyword

Orbital infarction syndrome; Anterior communicating artery aneurysm

MeSH Terms

Aneurysm
Blindness
Choroid
Craniotomy
Exophthalmos
Humans
Infarction*
Intracranial Aneurysm*
Neurosurgical Procedures
Ophthalmic Artery
Ophthalmoplegia
Orbit*
Retinaldehyde
Retinaldehyde
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