Diplopia following Percutaneous Coronary Intervention- A Rare Case
Correspondence Address :
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.
Coronary angioplasty, Neurological complications, Oculomotor nerve palsy
10.7860/JCDR/2021/50886.15596
Date of Submission: Jun 15, 2021
Date of Peer Review: Aug 06, 2021
Date of Acceptance: Sep 26, 2021
Date of Publishing: Nov 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 16, 2021
• Manual Googling: Jun 23, 2021
• iThenticate Software: Oct 05, 2021 (20%)
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