Cortical blindness after subclavian vein catheterization

The occurrence of air embolism with neurologic complications during the insertion of central venous catheters is well known, but the development of a cortical blindness has not been stress. The case of a woman patient is described, who, after the puncturing of the subclavian vein, developed a state...

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Bibliographic Details
Published inJPEN. Journal of parenteral and enteral nutrition Vol. 12; no. 5; p. 526
Main Authors Acalovschi, I, Corbaciu, D, Paraianu, I
Format Journal Article
LanguageEnglish
Published United States 01.09.1988
Subjects
Aged
Blindness - etiology
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - methods
Embolism, Air - complications
Embolism, Air - etiology
Female
Hemiplegia - etiology
Humans
Punctures
Subclavian Vein
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Summary:The occurrence of air embolism with neurologic complications during the insertion of central venous catheters is well known, but the development of a cortical blindness has not been stress. The case of a woman patient is described, who, after the puncturing of the subclavian vein, developed a state of confusion and transient left hemiplegia, followed by the loss of sight. Blindness was associated with normal pupilary light reflexes and no observable changes in the fundi, features identifying it as cortical. Possible pathogenetic mechanisms are discussed.
ISSN:0148-6071
DOI:10.1177/0148607188012005526