Case Report: Transient cortical blindness following coronary angiography

Yudi Her Oktaviono; Maureen Victoria Kawilarang; Michael Kawilarang; Ruth Irena Gunadi; Petrina Theda Philothra; Makhyan Jibril Al Farabi

doi:10.12688/f1000research.50821.2

Case Report: Transient cortical blindness following coronary angiography

Yudi Her Oktaviono, Maureen Victoria Kawilarang, Michael Kawilarang, Ruth Irena Gunadi, Petrina Theda Philothra, Makhyan Jibril Al Farabi

Research output: Contribution to journal › Article › peer-review

Abstract

Temporary blindness, also known as transient cortical blindness, is an uncommon impediment of contrast agent usage during angiography procedures. The occurrence of blindness after a cardiac catheterization procedure is rare and its pathophysiology remains largely speculative. The most probable mechanism seems to be contrast agent-related disruption of the blood-brain barrier, possibly initiated by several predisposing factors. This case reports a 52-year-old man with transient vision loss that occurred following coronary angiography. Brain magnetic resonance imaging (MRI) showed no acute pathology and his vision spontaneously returned within approximately 15 hours post-procedure without any requirement of specific therapy. Suggesting that transient cortical blindness may have occurred following coronary angiography which subsequently self-resolved.

Original language	English
Article number	439
Journal	F1000Research
Volume	10
DOIs	https://doi.org/10.12688/f1000research.50821.2
Publication status	Published - 2022

Keywords

Case report
Contrast induced blindness
Contrast reaction
Transient blindness during coronary angiography
Transient cortical blindness

Access to Document

10.12688/f1000research.50821.2

Cite this

@article{77a4aa25df84462689a1d61c725bc951,

title = "Case Report: Transient cortical blindness following coronary angiography",

abstract = "Temporary blindness, also known as transient cortical blindness, is an uncommon impediment of contrast agent usage during angiography procedures. The occurrence of blindness after a cardiac catheterization procedure is rare and its pathophysiology remains largely speculative. The most probable mechanism seems to be contrast agent-related disruption of the blood-brain barrier, possibly initiated by several predisposing factors. This case reports a 52-year-old man with transient vision loss that occurred following coronary angiography. Brain magnetic resonance imaging (MRI) showed no acute pathology and his vision spontaneously returned within approximately 15 hours post-procedure without any requirement of specific therapy. Suggesting that transient cortical blindness may have occurred following coronary angiography which subsequently self-resolved.",

keywords = "Case report, Contrast induced blindness, Contrast reaction, Transient blindness during coronary angiography, Transient cortical blindness",

author = "Oktaviono, {Yudi Her} and Kawilarang, {Maureen Victoria} and Michael Kawilarang and Gunadi, {Ruth Irena} and Philothra, {Petrina Theda} and {Al Farabi}, {Makhyan Jibril}",

note = "Publisher Copyright: {\textcopyright} 2022 Oktaviono YH et al.",

year = "2022",

doi = "10.12688/f1000research.50821.2",

language = "English",

volume = "10",

journal = "F1000Research",

issn = "2046-1402",

publisher = "F1000 Research Ltd.",

}

TY - JOUR

T1 - Case Report

T2 - Transient cortical blindness following coronary angiography

AU - Oktaviono, Yudi Her

AU - Kawilarang, Maureen Victoria

AU - Kawilarang, Michael

AU - Gunadi, Ruth Irena

AU - Philothra, Petrina Theda

AU - Al Farabi, Makhyan Jibril

PY - 2022

Y1 - 2022

N2 - Temporary blindness, also known as transient cortical blindness, is an uncommon impediment of contrast agent usage during angiography procedures. The occurrence of blindness after a cardiac catheterization procedure is rare and its pathophysiology remains largely speculative. The most probable mechanism seems to be contrast agent-related disruption of the blood-brain barrier, possibly initiated by several predisposing factors. This case reports a 52-year-old man with transient vision loss that occurred following coronary angiography. Brain magnetic resonance imaging (MRI) showed no acute pathology and his vision spontaneously returned within approximately 15 hours post-procedure without any requirement of specific therapy. Suggesting that transient cortical blindness may have occurred following coronary angiography which subsequently self-resolved.

AB - Temporary blindness, also known as transient cortical blindness, is an uncommon impediment of contrast agent usage during angiography procedures. The occurrence of blindness after a cardiac catheterization procedure is rare and its pathophysiology remains largely speculative. The most probable mechanism seems to be contrast agent-related disruption of the blood-brain barrier, possibly initiated by several predisposing factors. This case reports a 52-year-old man with transient vision loss that occurred following coronary angiography. Brain magnetic resonance imaging (MRI) showed no acute pathology and his vision spontaneously returned within approximately 15 hours post-procedure without any requirement of specific therapy. Suggesting that transient cortical blindness may have occurred following coronary angiography which subsequently self-resolved.

KW - Case report

KW - Contrast induced blindness

KW - Contrast reaction

KW - Transient blindness during coronary angiography

KW - Transient cortical blindness

UR - http://www.scopus.com/inward/record.url?scp=85137730807&partnerID=8YFLogxK

U2 - 10.12688/f1000research.50821.2

DO - 10.12688/f1000research.50821.2

M3 - Article

C2 - 36091968

AN - SCOPUS:85137730807

SN - 2046-1402

VL - 10

JO - F1000Research

JF - F1000Research

M1 - 439

ER -

Case Report: Transient cortical blindness following coronary angiography

Abstract

Keywords

Access to Document

Fingerprint

Cite this