RT Journal Article
SR Electronic
T1 Iatrogenically induced cortical blindness associated with leptomeningeal enhancement.
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1522
OP 1524
VO 19
IS 8
A1 L V Petrus
A1 J F Lois
A1 W W Lo
YR 1998
UL http://www.ajnr.org/content/19/8/1522.abstract
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.