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Transient Cortical Blindness Following Coronary Angiography
Sara I L Fernandes1, Rita J R Carvalho1, Luís M G Santos1
1Cardiology Department, Leiria Hospital Center, Leiria, Portugal.
JACC. Case Reports
|July 28, 2021
Summary
Transient cortical blindness (TCB) is a rare complication after coronary angiography. This case report details a patient who experienced TCB but fully recovered vision within 16 hours.
Area of Science:
- Cardiology
- Neurology
Background:
- Coronary angiography is a common procedure for diagnosing heart conditions.
- Transient cortical blindness (TCB) is an infrequent but recognized complication.
- Acute myocardial infarction necessitates urgent cardiac procedures like angiography.
Observation:
- A patient undergoing coronary angiography for acute myocardial infarction developed TCB.
- The patient presented with sudden, temporary vision loss.
- Neurological and ophthalmological examinations were performed.
Findings:
- The patient's vision returned to normal within 16 hours.
- Cardiac magnetic resonance imaging (MRI) showed no lasting abnormalities.
- This suggests a temporary, reversible neurological event.
Implications:
- TCB following angiography is a manageable complication.
- Prompt recognition and monitoring are crucial for patient outcomes.
- Further research may elucidate the exact pathophysiology and preventative strategies.
