Post Craniotomy Blindness due to Optic Neuropathy: Case Report and Review of Literature
Haytham Osman, MD1, Fawaz Eljili2*, Mohammed Mustafa3, Sanna Taha4 and Shahd Altayeb5
1Neurosurgery and Endovascular surgery, Neurospine centre, Ribat university hospital, Khartoum, Sudan.
2Registrar of Neurosurgery, MRCS, MSc (Molecular Medicine), MPH, National centre for Neurological Sciences (NCNS), Khartoum, Sudan.
3Registrar of neurosurgery, Neurospine centre, Ribat university hospital, Khartoum, Sudan.
4Registrar of neurosurgery, Neurospine centre, Ribat university hospital, Khartoum, Sudan.
5Registrar of neurosurgery, Neurospine centre, Ribat university hospital, Khartoum, Sudan.
*Corresponding Author: Dr. Fawaz Eljili, Registrar of Neurosurgery, MRCS, MSc (Molecular Medicine), MPH, National centre for Neurological Sciences (NCNS), Khartoum, Sudan.
Received: July 25, 2022 Published: August 10, 2022
Abstract
Background: Post craniotomy ischemic optic neuropathy is considered a type of broad group named as Postoperative vision loss (POVL). Ischemic optic neuropathy is the most important and common diagnosis for POVL. Most revised literature mentioned ischemic optic neuropathy occurred after spine not cranial.
Discussion: Post craniotomy blindness is not common complication in neurosurgery and is considered catastrophic. Incidence, pathogenesis and risk factors is not fully known. our case is a scenario of post-craniotomy blindness in supine position seen as delayed complication.
Conclusion: Ischemic optic neuropathy is not a common complication and still poorly understood with risk factors considered speculative. its treatment is not known, and so increased understanding should help to prevent that ophthalmological exam and consultation in addition to the medico-legal aspect should be considered for high risk patients.
Keywords: Optic Neuropathy, Postoperative vision loss (POVL), Post Craniotomy
Citation: Osman H, Eljili F, Mustafa M, Taha S, Altayeb S. “Post Craniotomy Blindness due to Optic Neuropathy: Case Report and Review of Literature”. SVOA Neurology 2022, 3:4, 150-153.
