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Related Experiment Video

Updated: Mar 19, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
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Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

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991

[PERIOPERATIVE VISUAL LOSS AFTER SPINE SURGERY: A CASE REPORT].

M Talmasse, C Franssen, D Martin

    Revue Medicale De Liege
    |June 15, 2016
    PubMed
    Summary

    Perioperative visual loss after spine surgery is rare but serious. This case highlights ischemic optic neuropathy as a cause, emphasizing the need for established risk factors and prevention strategies.

    Area of Science:

    • Ophthalmology
    • Neurosurgery
    • Anesthesiology

    Background:

    • Perioperative visual loss (PVL) is a rare but severe complication following spine surgery performed in the prone position.
    • The exact incidence, underlying mechanisms, and specific risk factors for PVL remain incompletely understood.
    • Ischemic optic neuropathy (ION) is the most frequent cause of PVL in this context.

    Observation:

    • A case report of a 68-year-old woman who experienced profound left-sided blindness after a lumbar laminectomy in the prone position.
    • The patient's visual loss was sudden and complete upon emergence from anesthesia.
    • Partial, slow recovery of vision occurred over 72 hours postoperatively.

    Findings:

    • The described case suggests a potential link between prone spine surgery and acute ischemic optic neuropathy.

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  • The event underscores the vulnerability of optic nerves during prolonged prone positioning.
  • Delayed visual recovery indicates the severity of the ischemic insult.

    • Implications:

    • Further research is crucial to elucidate the precise incidence and mechanisms of PVL in prone spine surgery.
    • Identifying and mitigating risk factors are essential for preventing this devastating complication.
    • Developing effective preventive strategies is paramount for patient safety in neurosurgical procedures.