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Acta Neurochirurgica

, Volume 160, Issue 2, pp 301–304 | Cite as

Successful retinal blood flow augmentation after extracranial-intracranial bypass

  • Tackeun Kim
  • Min Jai Cho
  • Sang Jun Park
  • Moon-Ku Han
  • Davendra Hari Ojar
  • Chang Wan Oh
  • Jae Seung Bang
Case Report - Vascular
  • 130 Downloads

Abstract

A 61-year-old woman visited us with recent onset right-side weakness. Magnetic resonance imaging showed ischemic changes at the left internal border zone due to occlusive disease affecting the left proximal internal carotid artery. Prompt oral dual antiplatelet therapy and intravenous fluid were administered with subsequent induced hypertension and without reperfusion therapy. Although the hemiparesis was improved, she complained of a new-onset transient left-side monocular visual loss. Fluorescein angiography confirmed delayed perfusion in the left eye. We performed extracranial-intracranial bypass for flow augmentation. After bypass, the amaurosis fugax resolved. Follow-up retinal fluorescein angiography also showed improved retinal perfusion.

Keywords

Cerebral revascularization Fluorescence angiography Transient monocular blindness Ischemia 

Notes

Compliance with ethical standards

This study was approved by institutional review board (B-1708/412–701). The consent from the patient was waived because postoperative follow-up had already finished.

Conflict of interest

None.

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Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

  • Tackeun Kim
    • 1
  • Min Jai Cho
    • 1
  • Sang Jun Park
    • 2
  • Moon-Ku Han
    • 3
  • Davendra Hari Ojar
    • 4
  • Chang Wan Oh
    • 1
  • Jae Seung Bang
    • 1
  1. 1.Department of NeurosurgerySeoul National University Bundang HospitalSeongnam-siRepublic of Korea
  2. 2.Department of OphthalmologySeoul National University Bundang HospitalSeongnam-siRepublic of Korea
  3. 3.Department of NeurologySeoul National University Bundang HospitalSeongnam-siRepublic of Korea
  4. 4.Department of RadiologyEric Williams Medical Science ComplexChamp FleursTrinidad and Tobago

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