Cortical blindness after percutaneous vertebroplasty: a case report and comprehensive review of the literature

Neurocase. 2023 Aug;29(4):99-102. doi: 10.1080/13554794.2024.2346984. Epub 2024 Apr 30.

Abstract

Objective: Many complications but cortical blindness after percutaneous vertebroplasty has been rarely reported. Here, we describe a case who developed cortical blindness after percutaneous vertebroplasty. We also reviewed the literature to find the possible causes of this complication and its treatment.

Methods: Case report and literature review.

Results: A 71-year-old woman experienced cortical blindness after percutaneous vertebroplast. She developed dizziness, nausea, sweating, blood pressure changes, and vision loss during the procedure. MRI confirmed bilateral cerebral infarctions. The patient recovered with conservative treatment.

Conclusions: Percutaneous vertebroplasty, though helpful, carries a rare risk of cortical blindness. Surgeon awareness is crucial for informing patients of this potential complication.

Keywords: Percutaneous vertebroplasty; bone cement implantation syndrome; complication; cortical blindness; postoperative visual loss.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Blindness, Cortical* / etiology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Postoperative Complications / etiology
  • Vertebroplasty* / adverse effects