Orbital compartment syndrome following aneurysm surgery

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Andrew J GaudenAndrew H Kaye

Abstract

Orbital compartment syndrome (OCS) is a rare cause of blindness following intracranial surgery. We report a patient with OCS following intracranial cerebrovascular surgery precipitated by severe straining. OCS occurred due to a rapid increase in intraorbital pressure within the rigid confines of the orbit causing hypoperfusion of critical neural structures, which resulted in visual loss and a complete external ophthalmoplegia. Treatment involved urgent surgical soft tissue decompression of the orbit, corticosteroids and osmotic agents. It is important to consider OCS as a cause of blindness in the neurosurgical postoperative setting as without rapid treatment this condition has a very poor prognosis.

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Citations

Oct 10, 2013·World Neurosurgery·Michael Tso, R Loch Macdonald
Feb 24, 2019·Journal of Neurosurgery·Hugo Andrade-BarazarteIvan Radovanovic
Nov 27, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Philipp HendrixJoachim Oertel
Nov 15, 2016·Ophthalmic Plastic and Reconstructive Surgery·Victoria C LeungDan DeAngelis
Oct 23, 2020·World Journal of Emergency Surgery : WJES·Federico CoccoliniMassimo Chiarugi
Nov 24, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Valerie JuniatDinesh Selva

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