Data Entry: Please note that the research database will be replaced by UNIverse by the end of October 2023. Please enter your data into the system https://universe-intern.unibas.ch. Thanks

Login for users with Unibas email account...

Login for registered users without Unibas email account...

 
Amaurosis after spine surgery : survey of the literature and discussion of one case
JournalItem (Reviews, Editorials, Rezensionen, Urteilsanmerkungen etc. in einer wissenschaftlichen Zeitschrift)
 
ID 1197326
Author(s) Zimmerer, Stephan; Koehler, Markus; Turtschi, Stephanie; Palmowski-Wolfe, Anja; Girard, Thierry
Author(s) at UniBasel Palmowski-Wolfe, Anja
Girard, Thierry
Year 2011
Title Amaurosis after spine surgery : survey of the literature and discussion of one case
Journal European spine journal
Volume 20
Number 2
Pages 171-6
Keywords Amaurosis, Blood pressure, Spinal surgery, Prone position, Postoperative vision loss (POVL)
Abstract Postoperative vision loss (POVL) associated with spine surgery is a well known, albeit very rare complication. POVL incidence after spinal surgery ranges from 0.028 to 0.2%; however, due to the increase in number and duration of annual complex spinal operations, the incidence may increase. Origin and pathogenesis of POVL remain frequently unknown. A 73-year-old patient presented with lumbar disc herniation with associated neurological deficits after conservative pre-treatment at a peripheral hospital. Known comorbidities included arterial hypertension, moderate arterial sclerosis, diabetes mellitus type 2, mildly elevated blood lipids and treated prostate gland cancer. During lumbar spine surgery in modified prone position the patient presented with an acute episode of severe hypotension, which required treatment with catecholamines and Trendelenburg positioning. Three hours postoperatively, a visual loss in the right eye occurred, resulting in a complete amaurosis. Antihypertensive medication, arteriosclerosis and intraoperative hypotension are possible causes for the POVL. Intraoperative administration of catecholamines and Trendelenburg positioning for treatment of systemic hypotension might further compromise ocular perfusion. In patients with comorbidities compromising arterial blood pressure, blood circulation and microcirculation, POVL must be considered as a severe postoperative complication. It is recommended to inform patients about such complications and obtain preoperative informed consent regarding POVL. Any recent modification of antihypertensive medication must be reported and analysed for potential intraoperative hemodynamic consequences, prior to spine surgery in prone position.
Publisher Springer
ISSN/ISBN 0940-6719
edoc-URL http://edoc.unibas.ch/dok/A6007481
Full Text on edoc No
Digital Object Identifier DOI 10.1007/s00586-010-1557-9
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/20809093
ISI-Number WOS:000286673300003
Document type (ISI) Journal Article, Review
 
   

MCSS v5.8 PRO. 0.337 sec, queries - 0.000 sec ©Universität Basel  |  Impressum   |    
28/03/2024