Transient trochlear nerve palsy following percutaneous angioplasty

Arch Soc Esp Oftalmol (Engl Ed). 2018 Aug;93(8):398-401. doi: 10.1016/j.oftal.2017.11.006. Epub 2018 Feb 15.
[Article in English, Spanish]

Abstract

Case report: A case is presented of a 63-year-old man who suffered a unilateral isolated trochlear nerve palsy with vertical diplopia following an elective radial coronary angiography and percutaneous coronary intervention, which resolved spontaneously within 2 months.

Discussion: Ophthalmoplegia following coronary percutaneous angioplasty is rare. Only internuclear ophthalmoplegia, III and VI cranial nerve palsy have been previously reported following percutaneous angioplasty. This is the first reported case of unilateral isolated trochlear nerve ophthalmoplegia following this procedure.

Keywords: Angiografía; Angiography; Angioplastia; Angioplasty; Enfermedades del nervio troclear; Músculos oculomotores; Oculomotor muscles; Oftalmoplejía; Ophthalmoplegia; Paralysis; Parálisis; Trochlear nerve diseases.

Publication types

  • Case Reports

MeSH terms

  • Angina Pectoris / therapy
  • Angioplasty, Balloon, Coronary
  • Causality
  • Coronary Angiography
  • Diplopia / etiology*
  • Embolism / etiology
  • Humans
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects*
  • Platelet Aggregation Inhibitors / therapeutic use
  • Recurrence
  • Retreatment
  • Stents
  • Torticollis / etiology
  • Trochlear Nerve Diseases / etiology*

Substances

  • Platelet Aggregation Inhibitors