Bilateral central retinal artery occlusion: An exceptional complication after frontal parasagittal meningioma resection

Jafeth Lizana; Carlos M Dulanto Reinoso; Nelida Aliaga; Walter Marani; Nicola Montemurro

doi:10.25259/SNI_571_2021

Bilateral central retinal artery occlusion: An exceptional complication after frontal parasagittal meningioma resection

Surg Neurol Int. 2021 Aug 9:12:397. doi: 10.25259/SNI_571_2021. eCollection 2021.

Authors

Jafeth Lizana¹, Carlos M Dulanto Reinoso², Nelida Aliaga³, Walter Marani⁴, Nicola Montemurro⁵

Affiliations

¹ Department of Neurosurgery, Hospital Nacional Guillermo Almenara, Lima, Peru.
² Department of Ophthalmology, Hospital Nacional Guillermo Almenara, Lima, Peru.
³ Department of Neurosurgery, School of Biomedical Sciences, Universidad Austral, Buenos Aires, Argentina.
⁴ Department of Neurosurgery, Mater Dei Hospital, Bari, Italy.
⁵ Department of Neurosurgery, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy.

Abstract

Background: Central retinal artery occlusion (CRAO) is a rare acute disease associated with great morbidity. It is reported as a complication of surgical procedures, but rarely associated with brain surgery and no reports before due to parasagittal meningioma resection.

Case description: We present the case of a 41-year-old female who underwent surgery for a parasagittal meningioma and developed a bilateral CRAO as an acute postoperative complication. Most common causes, such as cardiac embolism, carotid pathology and coagulation problems, were discussed and all clinical and neuroradiological exams performed were reported.

Conclusion: Bilateral CRAO as results of brain surgery is extremely rare; however, if it occurs, it should be early recognized and treated to minimize its high morbidity.

Keywords: Case report; Ophthalmic artery; Postoperative management; Retinal artery occlusion; Surgical complication.

Publication types

Case Reports