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Neurocritical Care

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01-06-2012 | Neuroimage

Waking up from Coronary Bypass Surgery and One Eye does not Move Right

Authors: Shamir Haji, Manoj K. Mittal, Eelco F. Wijdicks

Published in: Neurocritical Care | Issue 3/2012

Abstract

Introduction

Complications of coronary artery bypass graft surgery (CABG) include acute oculomotor nerve palsy secondary to ischemic stroke and pituitary apoplexy. These can present with impairment of extraocular muscle function as well as involvement or sparing of the pupil.

Case Report

We report the case of a 58-year-old male admitted for elective CABG surgery for severe coronary artery disease and found to have a pupil-sparing partial oculomotor palsy post-procedure. Neurological examination revealed left pupil-sparing isolated medial rectus and levator palpebrae superioris paresis. Magnetic resonance imaging demonstrated acute midbrain infarction.

Conclusion

Acute pupil-sparing partial oculomotor nerve palsy should be recognized as a neurological complication of cardiac surgery. Pupillary involvement can be helpful in identifying the underlying etiology.

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Title: Waking up from Coronary Bypass Surgery and One Eye does not Move Right
Authors: Shamir Haji
Manoj K. Mittal
Eelco F. Wijdicks
Publication date: 01-06-2012
Publisher: Humana Press Inc
Published in: Neurocritical Care / Issue 3/2012
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-011-9666-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Waking up from Coronary Bypass Surgery and One Eye does not Move Right

Abstract

Introduction

Case Report

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case Report

Conclusion

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