Your browser doesn't support javascript.
loading
Cushing Syndrome: A Potential Risk of Bilateral Postoperative Ischemic Optic Neuropathy after Lumbar Fusion / 대한신경손상학회지
Korean Journal of Neurotrauma ; : 221-226, 2019.
Artículo en Inglés | WPRIM | ID: wpr-759984
ABSTRACT
This is a report of a 58-year-old female with Cushing syndrome who underwent posterior lumbar fusion and lost both her vision completely. She was diagnosed with posterior ischemic optic neuropathy. Cushingoid features such as buffalo hump and central obesity might have attributed in triggering posterior ischemic optic neuropathy. When laid prone for surgery, perioperative high abdominal pressure causes venous hypertension leading to increase amount of blood loss. To compensate, infusion of large quantities of intravenous fluids is necessary which leads to hemodilution which decreases ocular perfusion pressure. Hypercoagulability of Cushing syndrome is also potentially a risk factor of this condition which increases the incidence of venous thromboembolism. For there is no known effective treatment for posterior ischemic optic neuropathy, means to prevent this complication must be strategically reviewed. When performing long spine surgery on patient who has Cushing syndrome or cushingoid features, caution must be taken to avoid this devastating complication.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Perfusión / Fusión Vertebral / Columna Vertebral / Búfalos / Incidencia / Factores de Riesgo / Neuropatía Óptica Isquémica / Trombofilia / Síndrome de Cushing / Tromboembolia Venosa Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos Idioma: Inglés Revista: Korean Journal of Neurotrauma Año: 2019 Tipo del documento: Artículo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Perfusión / Fusión Vertebral / Columna Vertebral / Búfalos / Incidencia / Factores de Riesgo / Neuropatía Óptica Isquémica / Trombofilia / Síndrome de Cushing / Tromboembolia Venosa Tipo de estudio: Estudio de etiología / Estudio de incidencia / Estudio pronóstico / Factores de riesgo Límite: Femenino / Humanos Idioma: Inglés Revista: Korean Journal of Neurotrauma Año: 2019 Tipo del documento: Artículo