Diplopia following Percutaneous Coronary Intervention- A Rare Case
OD06-OD07
Correspondence
Dr. Penta Bhavanadhar,
Apollo Reach Hospital, Karimnagar, Telangana, India.
E-mail: dr.bhavanadhar@gmail.com
Acute neurologic complications are rare following cardiac catheterisation and lead to substantial morbidity and mortality. The most common abnormalities reported are seizures, visual disturbances, facial palsy, and hemiparesis, with a preponderance of anterior circulatory events among the localising deficits and intracranial bleeding. A 51-year-old male patient presented with symptom of precordial chest heaviness radiating to left upper arm associated with sweating since >24 hours. Electrocardiogram (ECG) showed QS complexes with ST-segment elevation for which the patient underwent coronary angioplasty. Later, the patient develops diplopia following successful coronary angioplasty and examination revealed isolated left partial oculomotor nerve palsy. Magnetic resonance imaging of brain showed acute infarct in the left superior pons in paramedian location and other vascular territories. The patient was managed conservatively, and symptoms improved at the time of discharge. On review of literature, there are very few case reports on the involvement of oculomotor nerve post cardiac catheterisation. Early diagnosis and management are vital for recovery.