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Neuro-Ophthalmic Complications of Intracranial Catheters
Journal article   Peer reviewed

Neuro-Ophthalmic Complications of Intracranial Catheters

William T Shults, Sharon Hamby, James J Corbett, Randy Kardon, Jacqueline S Winterkorn and Jeffrey G Odel
Neurosurgery, Vol.33(1), pp.135-138
07/1993
DOI: 10.1227/00006123-199307000-00022
PMID: 8355830

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Abstract

WE REPORT FOUR patients who sustained direct injury to the brain after insertion of intraventricular shunts and pressure monitoring lines, which resulted in permanent neuro-ophthalmic deficits. These included hemianopsia from an optic tract lesion, esotropia and residual bilateral facial paresis from dorsal pontine injury, unilateral blindness from damage to the optic nerve, and dorsal midbrain syndrome from catheter compression in the region of the posterior commissure. Although presumably rare, such injuries should be considered in diagnosing patients with neuro-ophthalmic complaints after insertion of such devices.

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