Posterior Cerebral Artery Infarct with Haemorrhagic Transformation
Journal Title: International Journal of Ophthalmology & Eye Science (IJOES) - Year 2017, Vol 5, Issue 9
Abstract
A 65-year-old female presented with visual disturbances a week following surgical breast biopsy and stopping eliquis. A diagnosis of a perioperative posterior cerebral ischemic stroke with haemorrhagic transformation, in the setting of eliquis cessation, was made. Despite several features in this case suggesting a posterior cerebral artery cardio embolic ischemic stroke, differentials such as infarctions of the anterior circulation and middle cerebral artery, other possible causes of posterior circulation stroke, acute peripheral vestibular dysfunction, intracranial or subarachnoid haemorrhage, neoplasms, basilar migraine, toxic or metabolic disturbances, neuro-inflammatory or chronic infectious conditions, and ocular vascular disorders should be considered. Prompt detection and diagnosis of cardio embolic cerebral infarction is crucial to initiate long-term anti-coagulant therapy for secondary prevention. Clinicians should maintain a high index of suspicion for the signs and symptoms of stroke. Apart from a detailed history, a complete neurological examination with appropriate imaging will aid clinicians in detection, diagnosis and prevention of stroke with appropriate referral and management.
Authors and Affiliations
Kwang Meng Cham
Keywords
Related Articles
- EP ID EP326215
- DOI 10.19070/2332-290X-1700070
- Views 52
- Downloads 0
Observation of Peripheral Retina Using Video Laryngoscopy For Screening of Retinopathy of Prematurity
Background and Objective: Retinal observation in immature infants is highly important to screen and evaluate the progression of retinopathy of prematurity (ROP). Sharing the information with pediatricians and ophthalmolo...
Retinopathy of Prematurity: Incidence and Risk Factors
Background: With improved neonatal care services across India, even the tiniest and sickest babies are surviving. However,they carry a high chance of developing retinopathy of prematurity (ROP). Therefore, pediatricians...
Climatic Keratopathy in Snow Laden Hilly Areas
Spheroidal degeneration, reported as a rare entity in western literature is a common ocular morbidity in some parts of India. It is commonly seen in persons who are exposed to intense sun light (excess UV radiation) refl...
Anatomical Differences of Corneal Surface Parameters
Purpose: The aim of this study was to analyze possible anatomical differences of corneal surface parameters in the sample of population and between the genders. Methods: This study is presenting the sample of population...
Plasminogen Activator Inhibitor Type 2 in Human Tears and Blood during Pregnancy
Purpose: During pregnancy, systemic blood levels of plasminogen activator inhibitors (PAIs), estradiol (E2) and progesterone (P4) are expected to rise with gestational age. This work examines whether a corresponding rise...