Visual loss and central venous catheterization: cortical blindness and hemianopsia after inadvertent subclavian artery entry.
J Neuroophthalmol
; 20(1): 32-4, 2000 Mar.
Article
de En
| MEDLINE
| ID: mdl-10770505
ABSTRACT
A case of presumed embolic transient ischemic episodes and multifocal infarcts to the occipital and parietal cortices and the cerebellum of a young woman with ulcerative colitis is reported. These episodes were manifested by multifocal neurologic deficits including cortical blindness, visual hallucinations, and homonymous hemianopsia. They correlated with parenteral nutrition via a central line, presumed venous, but found to be in the subclavian artery. The complications of central venous lines are reviewed. The need for attention to neighborhood structures and unexpected symptoms, in view of the less well-recognized arterial embolic complications is emphasized.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Artère subclavière
/
Cathétérisme veineux central
/
Hémianopsie
/
Cécité corticale
Type d'étude:
Diagnostic_studies
/
Etiology_studies
Limites:
Adult
/
Female
/
Humans
Langue:
En
Journal:
J Neuroophthalmol
Sujet du journal:
NEUROLOGIA
/
OFTALMOLOGIA
Année:
2000
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique