ŽILKA, Tomáš, Tomas HARAG, Robert ILES, Martin SMRČKA and Lucia HASONOVÁ. Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report. INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT. NETHERLANDS: ELSEVIER, 2023, vol. 32, June 2023, p. 1-4. ISSN 2214-7519. Available from: https://dx.doi.org/10.1016/j.inat.2022.101705.
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Basic information
Original name Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report
Name in Czech Náhlý vznik komplenti oftalmoplegie a slepoty po resekcii velkého frontálního konvexitárního meningeomu: Kazuistika
Authors ŽILKA, Tomáš (703 Slovakia, guarantor, belonging to the institution), Tomas HARAG, Robert ILES, Martin SMRČKA (203 Czech Republic, belonging to the institution) and Lucia HASONOVÁ (703 Slovakia, belonging to the institution).
Edition INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT, NETHERLANDS, ELSEVIER, 2023, 2214-7519.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30210 Clinical neurology
Country of publisher Netherlands
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 0.400 in 2022
RIV identification code RIV/00216224:14110/23:00130156
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.inat.2022.101705
UT WoS 001009459300001
Keywords in English ophthalmoplegia; blindness; large frontal convexity meningioma; resection
Tags 14110224, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 25/1/2024 15:50.
Abstract
Background: Meningiomas are the most common benign intracranial tumors. Standard treatment of symptomatic meningiomas is microsurgical resection. Surgically, convexity meningiomas are simple to remove with low complication rate. This paper describes a rare and unexpected postoperative complication - orbital compartment syndrome, including blindness after convexity meningioma resection. We believe it to be caused by unintended interruption of atypical venous outflow route from the orbit which was formed due to meningioma presence.Case Description: We present the case of a 53-year-old woman with a history of approximately 10 years of cognitive impairment and worsening prefrontal syndrome. MRI scan revealed right-sided frontal convexity meningioma (7x6x6.5 cm) with significant expansive behaviour. The patient underwent microsurgical resection with no intraoperative complications. In the immediate postoperative period, there was a rapid development of orbital compartment syndrome: complete ophthalmoplegia, vision loss, periorbital edema, exophthalmos, and chemosis.Conclusions: Large frontal convexity meningiomas, long term clinically silent, can cause chronically increased intracranial pressure which may lead to the formation of alternative routes for venous drainage from the orbit. If such created veins run through diploe of cranium above the meningioma, they might be interrupted during the craniotomy, and this may result in orbital compartment syndrome. Awareness of this rare complication may help to avoid it, since treatment options are limited.
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