ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021
Posterior ischemic optic neuropathy following supine craniotomy for epidural abscess in a child.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Permanent unilateral visual loss and orbital compartment syndrome following unilateral frontal craniotomy: illustrative case.Journal of neurosurgery. Case lessons · 2024Article
- Perioperative Blindness in Spine Surgery: A Scoping Literature Review.Journal of clinical medicine · 2024Article
- A Case Report of Frontal Sinus Abscess Complicated by Epidural Abscess with a Literature Review.Infection and drug resistance · 2024Article
- Optic neuropathy associated with acute pancreatitis: A case report.Experimental and therapeutic medicine · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
Post-operative vision loss (POVL) can be a devastating complication of neurosurgical procedures and is unusual in the pediatric population. Mechanisms of POVL include direct optic nerve injury, vascular occlusion, or indirect malperfusion resultant from surgeries with substantial blood loss or fluid shifts, with prone positioning being a major risk factor for these events. Posterior ischemic optic neuropathy (PION) is a rare cause of POVL and is associated with a poor prognosis for recovery of visual function. We present a case of PION following a supine bifrontal craniotomy for a frontal epidural abscess secondary to pan-sinusitis in a pediatric patient. This is an unusual reported case in that no additional traditional risk factors were identified. We present clinical and radiographic findings, diagnostic considerations, treatment strategies, and a literature review. The patient was managed medically and recovered substantial vision in the affected eye.
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