An Eye Opener for a Blinding Disease—Orbital Infarction Syndrome

Author:

Kaushik Kavya S.1,Acharya Ullas V.1,Pandey Paritosh2,Krupa Lakshmi3

Affiliation:

1. Department of Radiology, Manipal Hospitals, Bengaluru, Karnataka, India

2. Department of Neurosurgery and Neurovascular Intervention, Manipal Hospitals, Bengaluru, Karnataka, India

3. Department of Ophthalmology, Manipal Hospitals, Bengaluru, Karnataka, India

Abstract

AbstractOrbital infarction syndrome (OIS) is a disease of rare occurrence owing to the rich orbital vascular anastomotic network. We describe a case of a middle-aged female who presented with an acute left middle cerebral artery (MCA) territory infarct with left terminal internal carotid artery and MCA occlusion, underwent emergency mechanical thrombectomy, and developed painful loss of vision shortly after diagnosed as OIS based on clinical and radiological findings. The rarity and severity of OIS, especially in the setting of mechanical thrombectomy, warrant radiologists to be aware of this entity to ensure preventive measures or aid in prompt diagnosis to institute timely treatment.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

Reference12 articles.

1. Orbital infarction syndrome;F X Borruat;Ophthalmology,1993

2. Orbital infarction syndrome after mechanical thrombectomy in acute ischaemic stroke;A Valls Carbó;BMJ Case Rep,2020

3. An update on the variations of the orbital blood supply and hemodynamic;E Bertelli;Surg Radiol Anat,2017

4. Teaching NeuroImages: orbital infarction syndrome from giant cell arteritis;D D Kim;Neurology,2016

5. Global orbital infarction syndrome after a carotid artery dissection;D Larrosa Campo;JAMA Neurol,2019

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