You are here

Article Text

Article menu
Download PDFPDF
Unusual presentation of more common disease/injury
Case report
Orbital infarction syndrome after mechanical thrombectomy in acute ischaemic stroke
  1. Adrián Valls Carbó1,
  2. María Gutiérrez Sánchez de la Fuente1,
  3. Carlos Pérez García2 and
  4. Maria Natividad Gómez Ruiz2
  1. 1Neurology, Hospital Clinico Universitario San Carlos, Madrid, Spain
  2. 2Radiology, Hospital Clinico Universitario San Carlos, Madrid, Spain
  1. Correspondence to Dr Adrián Valls Carbó; adrianvallsc{at}gmail.com

Abstract

Orbital infarction syndrome (OIS) encompasses the ischaemic infarction of all intraorbital and intraocular structures (optic nerve, extraocular muscles and orbital fat) which leads to a painful loss of visual acuity, ophthalmoparesis, chemosis, proptosis and ptosis. The rich anastomotic orbital vascularisation from internal carotid artery (ICA) and external carotid artery makes this disorder a rare cause of visual loss in stroke patients. We describe a case of a woman who suffered an acute occlusion of her right ICA and developed an OIS after mechanical thrombectomy.

  • stroke
  • neuroopthalmology
  • cranial nerves
  • interventional radiology

https://doi.org/10.1136/bcr-2019-234158

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors AVC contributed to the analysis and interpretation of the clinical data, to the conception of the research and wrote the manuscript. MGSDLF contributed to the conception and design of the work. MNGR and CPG contributed to the analysis and interpretation of the radiology images.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.