scholarly journals Ipsilateral Ophthalmic Artery Stenosis in Amaurosis Fugax: A Case Report

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Referano Agustiawan ◽  
Ferdy Iskandar ◽  
Muhammad Ikhsan Mokoagow ◽  
Kanisius Kanovnegara ◽  
Firman Hendrik
Keyword(s):  
Case Report ◽  
Ophthalmic Artery ◽  
Retinal Ischemia ◽  
Artery Stenosis ◽  
First Episode ◽  
Amaurosis Fugax ◽  
Transient Visual Loss ◽  
Ischemic Attack ◽  
The Right ◽  
Untreated Hypertension

Introduction: Amaurosis fugax is caused by an abrupt reduction of blood flow to the retina. Determining the etiology of amaurosis fugax should ensure proper management. Case Report: A 47-year-old female patient who had the first episode of amaurosis fugax in her right eye was referred to our hospital. The amaurosis fugax resolved spontaneously, however, we found a 3 mm long stenosis at her right ophthalmic artery during magnetic resonance angiography. She had clinical histories of untreated hypertension and dyslipidemia. Transient ischemic attack (TIA) was suspected and unfractionated heparin, aspirin, antihypertensive agent, and statin were given. Treatments were maintained, the symptoms had not recurred in the following 6 months after the event. Discussion: Stenosis of the ophthalmic artery is very rare. It occurs in approximately 2% of patient suffering from amaurosis fugax. In our case, stenosis of the right ophthalmic artery due to thromboembolism might cause retinal ischemia leading to a transient visual loss. Conclusion: This case suggests stenosis of ophthalmic artery as the cause of amaurosis fugax. Keywords: amaurosis fugax, ipsilateral, ophthalmic artery, stenosis

scholarly journals Differentiating stroke, transient ischemic attack, or hemiplegic migraine in a teenager: a case report

2021 ◽  
Vol 15 (2) ◽  
pp. 1-5
Author(s):  
Monika Ciechanowska ◽  
Jan Stachurski
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Transient Ischemic Attack ◽  
Pediatric Population ◽  
Young Patients ◽  
Diagnostic Process ◽  
First Episode ◽  
Hemiplegic Migraine ◽  
Ischemic Attack ◽  
The Right

Background: The symptoms of stroke in the pediatric population are less evaluated than in adults. Although certain indicators are characteristic of stroke – acute drooping of the mouth corners, hemiparesis, and headache – they are not pathognomonic. Other diseases may manifest with similar symptoms, such as the first episode of hemiplegic migraine, and should be differentiated from stroke at an emergency department. Aim of the study: We present the differential diagnosis between stroke, transient ischemic attack, and first episode of hemiplegic migraine in a teenager with alarming focal symptoms. Case report: We present a case of 15-year-old patient with acute headache, drooping of the right mouth corners, and hemiparesis of the right upper and lower limb. He was brought by ambulance to the emergency department under suspicion of a stroke. A series of diagnostic tests performed at the Emergency Department did not reveal any vascular incident. Further diagnosis was performed at the Neurology Department. The patient was discharged from the hospital with a suspicion of first attack of hemiplegic migraine or transient ischemic attack. Conclusions: Differentiating stroke from other conditions in young patients is a significant challenge. The stroke diagnostic process in children requires further research to support accurate diagnosis and, if necessary, treatment as rapidly as possible.

scholarly journals Subclavian artery stenosis presenting as amaurosis fugax: a case report

2013 ◽  
Vol 7 (3) ◽  
pp. 197-201
Author(s):  
Kosuke KONDO ◽  
Naoyuki HARADA ◽  
Jun NOMOTO ◽  
Masaaki NEMOTO ◽  
Masashi HARADA ◽  
...  
Keyword(s):  
Case Report ◽  
Subclavian Artery ◽  
Artery Stenosis ◽  
Amaurosis Fugax ◽  
Subclavian Artery Stenosis

scholarly journals Diagnosis and clinical course of ocular ischemic syndrome with retinal vascular abnormalities due to unilateral ocular artery and internal carotid artery stenosis in a child with neurofibromatosis type 1: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hiroaki Sakai ◽  
Kosuke Kawata ◽  
Jun Masuoka ◽  
Tomohisa Nishimura ◽  
Hiroshi Enaida
Keyword(s):  
Blood Flow ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Internal Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Vascular Abnormalities ◽  
The Right ◽  
Ischemic Syndrome

Abstract Background Neurofibromatosis type 1 (NF1) is a hereditary disease that causes neurofibromas generally, but it has been reported to sometimes be associated with various forms of blood vessel stenosis, occlusion and vascular abnormalities of unknown mechanism. However, a symptomatic case with simultaneous ophthalmic artery stenosis and internal carotid artery stenosis is an extremely rare pathogenesis in a child with NF1. In this report, we performed the diagnosis and observation using various imaging modalities for this rare pediatric case. Case presentation A 6-year-old girl diagnosed with NF1 presented with gradual visual loss in the right eye. Best corrected visual acuity (BCVA) was 20/40 OD and the intraocular pressure (IOP) was normal in both eyes. Retinal vascular abnormalities with tortuous vessels and optic disc pallor were observed in the right fundus. Widefield fluorescein angiography revealed multiple sites of neovascularization and a large non-perfusion area in the peripheral retina. Optical coherence tomography angiography showed retinal vascular abnormalities in the right eye and revealed differences in inner retinal thickness and blood flow signal between the left and right eyes. Laser speckle flowgraphy showed that chorioretinal blood flow was significantly decreased in the right eye. Cerebral angiography revealed the right ophthalmic artery was significantly narrowed throughout. In addition, Magnetic resonance angiography revealed that the right internal carotid artery was significantly narrowed in the ophthalmic segment. We diagnosed ophthalmic artery and internal carotid artery stenosis with retinal vascular abnormalities and ocular ischemic syndrome in NF1. Because IOP increased to 35 mmHg, due to neovascular glaucoma in addition to mild vitreous hemorrhage occurred, panretinal photocoagulation was performed after intravitreal bevacizumab injection. After treatments, IOP normalized, but BCVA decreased to 20/100 OD. Arterial spin labeling showed normal cerebral blood flow. The patient is currently being carefully monitored. Conclusions We have described the diagnosis and treatment of ocular ischemic syndrome due to multiple arteries stenosis in a child with NF 1. Utilization of various imaging modalities was helpful in diagnosing the complicated pathogenesis. However, since direct intervention by neurosurgery is not possible in this case, it is expected that treatment will be extremely difficult in the future.

Tension Pneumocephalus after Clipping of a Carotid-Ophthalmic Artery Aneurysm via an Interhemispheric Approach: Case Report

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 650-654 ◽  
Author(s):  
Akio Asai ◽  
Hisashi Yamada ◽  
Kazuo Tsutsumi ◽  
Kintomo Takakura
Keyword(s):  
Case Report ◽  
Ophthalmic Artery ◽  
Artery Aneurysm ◽  
Optic Canal ◽  
Tension Pneumocephalus ◽  
Aneurysm Clipping ◽  
Interhemispheric Approach ◽  
The Right ◽  
Planum Sphenoidale

Abstract A case of postoperative tension pneumocephalus of unusual cause after carotid-ophthalmic artery aneurysm clipping is presented. A second craniotomy for decompression and exploration demonstrated a small fistula in the planum sphenoidale, which presumably had been made when the right optic canal was unroofed during the first operation.

scholarly journals Case Report: Ostium secundum atrial septal defect with unilateral lung hypervascularity revealing associated right pulmonary artery stenosis

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1379
Author(s):  
Mehdi Slim ◽  
Malick Bodian ◽  
Elies Neffati ◽  
Essia Boughzela
Keyword(s):  
Blood Flow ◽  
Case Report ◽  
Pulmonary Artery ◽  
Septal Defect ◽  
Artery Stenosis ◽  
Pulmonary Artery Stenosis ◽  
X Ray ◽  
Right Pulmonary Artery ◽  
Chest X Ray ◽  
The Right

Background: Atrial septal defect (ASD) is often an isolated disease, but its association with other abnormalities can make diagnosis challenging. Careful analysis of simple complementary exams can help precise anatomical diagnosis ensuring suitable treatment. The aim of this article is to report, from a case report and literature review, diagnostic challenges and the contribution of simple complementary exams, such as chest X-ray, for the diagnostic orientation of an ASD associated with peripheral pulmonary artery stenosis, as well as therapeutic particularities. Case report: We report the case of a girl born in 2007, with history of dyspnoea and recurrent bronchitis in whom a loud systolic murmur was detected fortuitously at the age of 2 years. Her clinical examination was otherwise normal. The electrocardiogram recorded sinus rhythm, incomplete right bundle branch block, and right ventricular hypertrophy. Chest X-ray showed moderate cardiomegaly and hypervascularity of the left lung field contrasting with reduced blood flow to the right lung. Doppler echocardiography revealed a wide ostium secundum ASD, right chamber volume overload and right pulmonary artery stenosis. The latter was confirmed by CT angiography and right cardiac catheterization.  The patient underwent percutaneous right pulmonary artery dilation with stent placement. Control chest X-ray noted bilateral hypervascularity of the lung. The ASD was closed percutaneously one year later. The outcome was uneventful. Conclusion: The combination of ASD with pulmonary artery stenosis limits pulmonary hyperflow. In our case, this stenosis was tight and sat on the right branch of the pulmonary artery reducing significantly blood flow to the ipsilateral lung. Careful chest X-ray analysis may suggest diagnosis, which can be confirmed by ultrasounds and if necessary, by further examination, allowing treatment adaptation. To our knowledge, this association is very rare and no similar case has been reported.

scholarly journals Amaurosis fugax associated with the ophthalmic artery stenosis.

Nosotchu ◽  
1989 ◽  
Vol 11 (3) ◽  
pp. 242-246
Author(s):  
Kiyoyuki Yanaka ◽  
Tadao Nose ◽  
Yutaka Maki ◽  
Harumi Nose ◽  
Eiki Kobayashi
Keyword(s):  
Ophthalmic Artery ◽  
Artery Stenosis ◽  
Amaurosis Fugax

scholarly journals A Case of Critical Calcified Innominate Artery Stenosis Successfully Treated With the Shockwave Lithoplasty

2019 ◽  
Vol 12 ◽  
pp. 117954761982870 ◽  
Author(s):  
Cesare Tripolino ◽  
Placido Grillo ◽  
Eliezer Joseph Tassone ◽  
Gaetano Morabito ◽  
Daniele Maselli ◽  
...  
Keyword(s):  
Case Report ◽  
Coronary Arteries ◽  
Balloon Angioplasty ◽  
Innominate Artery ◽  
Artery Stenosis ◽  
Sound Waves ◽  
Novel Technology ◽  
Wall Apposition ◽  
The Right ◽  
Innominate Artery Stenosis

Purpose: The Shockwave Lithoplasty System represents a novel technology combining a balloon angioplasty catheter with the use of sound waves. Evidences suggest that it is a reliable tool to overcome calcified stenosis in both peripheral and coronary arteries. Here, we describe the case of a patient with calcified innominate artery stenosis successfully treated with the Shockwave Lithoplasty System. Case Report: A 78-year-old woman with hypertension, and dyslipidemia, came to our observation for dizziness. Instrumental examinations showed critical calcified stenosis of the innominate artery. The lesion was successfully treated with the Shockwave Lithoplasty System and subsequent stent apposition. Final angiography demonstrated excellent position of the stent, good wall apposition, and confirmed patency of the right common and right vertebral artery origins. Conclusion: Our clinical experience demonstrates that Lithoplasty is safe and effective also for the treatment of supra-aortic vessels.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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