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Skew deviation as a complication of cardiac catheterization
T Suzuki1, M Nishio, M Chikuda
1Department of Ophthalmology, Dokkyo University School of Medicine, Koshigaya Hospital, Koshigaya, Saitama, Japan. suzukitn@dokkyomed.ac.jp
American Journal of Ophthalmology
|July 31, 2001
Summary
Cardiac catheterization can rarely cause diplopia and skew deviation, affecting vision after the procedure. These neurological symptoms typically resolve over time without lasting effects.
Area of Science:
- Neurology
- Cardiology
Background:
- Cardiac catheterization is a common procedure for diagnosing and treating heart conditions.
- Potential neurological complications, though rare, warrant careful consideration.
Observation:
- Three patients presented with diplopia (double vision) and skew deviation following cardiac catheterization.
- These symptoms occurred after procedures for myocardial infarction and aortic dissection.
Findings:
- The observed diplopia and skew deviation were mild and transient.
- Complete resolution occurred within 1.5 to 16 months across the three cases.
- Neuroimaging did not detect subtle brainstem ischemic damage potentially causing these visual disturbances.
Implications:
- Cardiac catheterization may rarely lead to specific neurological deficits like diplopia and skew deviation.
- Ophthalmological and neurological monitoring is important in patients experiencing visual changes post-procedure.
- Further research may elucidate the precise mechanisms of these rare neurological complications.