PT  - JOURNAL ARTICLE
AU  - L V Petrus
AU  - J F Lois
AU  - W W Lo
TI  - Iatrogenically induced cortical blindness associated with leptomeningeal enhancement.
DP  - 1998 Sep 01
TA  - American Journal of Neuroradiology
PG  - 1522--1524
VI  - 19
IP  - 8
4099  - http://www.ajnr.org/content/19/8/1522.short
4100  - http://www.ajnr.org/content/19/8/1522.full
SO  - Am. J. Neuroradiol.1998 Sep 01; 19
AB  - Leptomeningeal enhancement is usually infective or neoplastic in origin. We present a case in which a patient received total parenteral nutrition via a catheter unknowingly placed within the right vertebral artery. We postulate that the hyperosmolar nature of the infused solution induced temporary osmotic disruption of the blood-brain barrier, resulting in cortical blindness associated with localized leptomeningeal enhancement.