Sudden onset of complete ophthalmoplegia and blindness after
resection of large frontal convexity meningioma: Case report

J 2023

Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report

ŽILKA, Tomáš, Tomas HARAG, Robert ILES, Martin SMRČKA, Lucia HASONOVÁ et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

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

Abstract

V originále

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.

Citovat

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.

@article{2244856,
   author = {Žilka, Tomáš and Harag, Tomas and Iles, Robert and Smrčka, Martin and Hasonová, Lucia},
   article_location = {NETHERLANDS},
   article_number = {June 2023},
   doi = {http://dx.doi.org/10.1016/j.inat.2022.101705},
   keywords = {ophthalmoplegia; blindness; large frontal convexity meningioma; resection},
   language = {eng},
   issn = {2214-7519},
   journal = {INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT},
   title = {Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report},
   url = {https://www.sciencedirect.com/science/article/pii/S2214751922002195},
   volume = {32},
   year = {2023}
}

TY  - JOUR
ID  - 2244856
AU  - Žilka, Tomáš - Harag, Tomas - Iles, Robert - Smrčka, Martin - Hasonová, Lucia
PY  - 2023
TI  - Sudden onset of complete ophthalmoplegia and blindness after resection of large frontal convexity meningioma: Case report
JF  - INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT
VL  - 32
IS  - June 2023
SP  - 1-4
EP  - 1-4
PB  - ELSEVIER
SN  - 22147519
KW  - ophthalmoplegia
KW  - blindness
KW  - large frontal convexity meningioma
KW  - resection
UR  - https://www.sciencedirect.com/science/article/pii/S2214751922002195
N2  - 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.
ER  -

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. \textit{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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