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Seizures associated with fluorescein angiography
1Department of Ophthalmology, State University of New York, Brooklyn 11203.
Annals of Ophthalmology
|March 1, 1989
Summary
A patient experienced a generalized tonic-clonic seizure following fluorescein angiography, despite prior seizure control. This highlights the need for specific emergency medications like diazepam and phenytoin to manage such adverse reactions.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Fluorescein angiography is a common diagnostic imaging technique in ophthalmology.
- Patients with pre-existing seizure disorders may be at increased risk for neurological adverse events.
Observation:
- A case report detailing a patient with a history of seizure disorders who experienced a grand mal generalized tonic-clonic seizure post-fluorescein angiography.
- The patient's seizure disorder was reportedly well-controlled with medication prior to the procedure.
Findings:
- Fluorescein angiography can precipitate seizures in susceptible individuals, even with controlled epilepsy.
- The occurrence of a generalized tonic-clonic seizure is a significant adverse reaction to fluorescein angiography.
Implications:
- The findings underscore the importance of a thorough patient history, including seizure disorders, before fluorescein angiography.
- Diazepam and phenytoin should be considered essential emergency medications for managing adverse reactions during fluorescein angiography.
- This case contributes to the understanding of neurological complications associated with fluorescein angiography and informs emergency preparedness protocols.