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ISSN 1561-3070 (Electronic)

2021, Number 1

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Rev Cub Oftal 2021; 34 (1)

Neuro-ophthalmological manifestations in patients with ischemic cerebrovascular disease

Maimó GY, Juvier RT, Bory VN, Durán PM

Language: Spanish
References: 69
Page: 1-29
PDF size: 450.46 Kb.


ABSTRACT

Ischemic cerebrovascular disease has a high incidence and prevalence in Cuba, and it is the third cause of death in the country. A number of anatomical and clinical differences distinguish anterior from posterior circulation infarction. On certain occasions the distinguishing elements that aid in the topographic diagnosis of ischemic cerebrovascular disease are its neuro-ophthalmological manifestations. With the purpose of gaining insight into the current knowledge about the neuro-ophthalmological alterations associated to ischemic cerebrovascular disease, a bibliographic review was conducted based on the analysis of 69 digital information sources from the last five years. Cerebral circulation is generally divided into anterior and posterior. The main symptoms and signs of the stroke that affects anterior circulation are conjugate gaze deviation, altered saccades, homonymous hemianopsia, heminegligence and eyelid opening apraxia, whereas the alterations associated to posterior circulation involvement are nystagmus, eye movement and alignment abnormalities, and homonymous hemianopsia with macular preservation. It is concluded that ischemic cerebrovascular disease presents symptoms and signs related to both the afferent and the efferent visual pathways. Homonymous hemianopsia is the most common sign reported.


REFERENCES

  1. Parmar P. Stroke: classification and diagnosis. Clin Pharmacist. 2018;10(1): Doi: https://doi.org/10.1211/CP.2018.20204150

  2. Biblioteca Médica Nacional. Accidente Cerebrovascular. Estadisticas mundiales. La Habana: Factogr Salud. 2017 [acceso: 28/04/2020];3(12):[aprox. 13 p.]. Disponible en: http://files.sld.cu/bmn/files/2017/12/factografico-de-salud-diciembre-2017.pdf

  3. Mesa Y, Hernández TE, Parada Y. Factores determinantes de la calidad de vida en pacientes sobrevivientes a un ictus. Rev Haban Cienc Méd. 2017;16(5):2.

  4. Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud. La Habana: Mortalidad; 2018 [acceso: 28/04/2020]:27-33. Disponible en: Disponible en: http://www.bvscuba.sld.cu/2018/anuario-estadistico-de-salud-de-cuba

  5. Pula JH, Yuen CA. Eyes and Stroke: the visual aspects of cerebrovascular disease. Stroke Vasc Neurol. 2017;2(4):210-20.

  6. Rowe FJ, Hepworth LR, Howard C, Hanna KL, Cheyne CP, et al. High incidence and prevalence of visual problems after acute stroke: An epidemiology study with implications for service delivery. PLoS ONE. 2019;14(3):e0213035. DOI: https://doi.org/10.1371/journal.pone.0213035

  7. Snell R. Neuroanatomía clínica. Argentina: Editorial Médica Panamericana; 2003. p. 473-99.

  8. Chandra A, Li WA, Stone CR, Geng X, Ding Y. The cerebral circulation and cerebrovascular disease: Anatomy. Brain Circ. 2017;3(2):45-56.

  9. Yu J, Xu N, Zhao Y, Yu J. Clinical importance of the anterior choroidal artery: a review of the literature. Int J Med Sci. 2018;15(4):368-75.

  10. Algahtani SA, Luby M, Nadareishvili Z, Benson RT, Hsia AW, et al. Perfusion Deficits and Association with Clinical Outcome in Patients with Anterior Choroidal Artery Stroke. J Stroke Cerebrovasc Dis. 2017;26(8):1755-9.

  11. Demel SL, Broderick JP. Basilar Occlusion Syndromes. Neurohospitalist. 2015;5(3):142-50.

  12. Juan-Sierra IA, Juan-Sierra DF, Vera O, Mora JA, Tramontini C. Anatomía básica de la circulación cerebral posterior. Rev Méd Sanit. 2018;21(4):2.

  13. Southerland AM. Clinical Evaluation of the Patient With. Acute Stroke Continuum (Minneap Minn). 2017;23(1):40-61.

  14. Tamhankar MA. Transient Visual Loss or Blurring. In: Liu GT, Volpe NJ, Galetta SL, editors. Neuro-Ophthalmology; 2018. p. 365-77.

  15. Wray SH. Acute Visual Loss. Semin Neurol. 2016;36:425-32.

  16. Antipova D, Eadie L, Macaden A, Wilson P. Diagnostic accuracy of clinical tools for assessment of acute stroke: a systematic review. BCM Emerg Med. 2019;19:49.

  17. Deng YM, Chen DD, Wang LY, Gao F, Sun X, et al. Visual field impairment predicts recurrent stroke after acute posterior circulation stroke and transient ischemic attack. CNS Neurosci Ther. 2018;24(2):154-61.

  18. Cid-Guede E, González-González Y, Da Cuña-Carrera I. Tratamiento fisioterapéutico de la heminegligencia secundaria a un accidente cerebrovascular. Arch Neuroc. 2018;23(2):42-59.

  19. Cartier L, Parra J, Contreras JP, Investigación clínica de la ptosis cerebral. Presentación de seis nuevos casos. Rev Med Chile. 2018;146:857-63.

  20. Gutiérrez L, Arruga J, Sánchez JJ, Muñoz S, Puyalto-de-Pablo P. Axonal injury in the lateral geniculate body: radiological diagnosis. Neuroophthalmology. 2017;41(4):215-18.

  21. Pasu S, Ridha BH, Wagh V, Jindahra P, Siddiqui A, et al. Homonymous Sectoranopia: Asymptomatic Presentation of a Lateral Geniculate Nucleus Lesion. Neurophthalmol. 2015;39(6):289-94.

  22. Gallego J, Herrera M, Navarro MC. Manifestaciones oftalmológicas de la enfermedad cerebrovascular. An Sis San Nav. 2008;31(3):84-9.

  23. Horton JC, Adams DL. Patterns of cortical visual field defects from embolic stroke explained by the Anastomotic Organitation of Vascular Microlobules. J Neuroophthal. 2018;38(4):538-50.

  24. Pelak VS. Disorders of higher cortical visual function. In: Liu GT, Volpe NJ, Galetta SL, editors. Neuro-Ophthalmology; 2018. p. 341-64.

  25. Gold DR. Eye movement disorders: conjugate gaze abnormalities. In: Liu GT, Volpe NJ, Galetta SL, editors. Neuro-Ophthalmology; 2018. p. 549-84.

  26. Kim JY, Kim YW, Kim HS. Simultaneous Loss of Bilateral Voluntary Eyelid Opening and Sustained Winking Response Following Bilateral Posterior Cerebral Artery Infarction. Ann Rehabil Med. 2015;39(2):303-07.

  27. Kaas BM, Zee DS, Kheradmand A, Gold DR. Midbrain Infarction Resulting in Bilateral Pseudoabducens Palsies. Neurologist. 2017;22(3):72-6.

  28. Ghasemi M, Riaz N, Bjornsdottir A, Paydarfar D. Isolated pseudoabducens palsy in acute thalamic stroke. Clin Imaging. 2017;43:28-31.

  29. Searle A, Rowe FJ. Vergence Neural Pathways: A Systematic Narrative Literature Review. Neuro-Ophthalmology. 2016;40(5):209-18.

  30. Sato K, Takahashi T, Matsumoto N, Yunoki T, Takemoto M. Rare valiant -vertical one-and-a-half síndrome without ipsilateral upward gaze palsy in a patient with thalamomesencephalic stroke. Neurol Clin Neurosci. 2018;6(5):133-5.

  31. Abkur T, Baheerathan A, Banerjee S. Esotropia and vertical gaze palsy in a patient with an acute thalamic infarct. Br J Hosp Med. 2020;81(3):1-3.

  32. Kim JH. Kim WJ. Bilateral vertical gaze palsy after cerebral digital substraction angiography due to unilateral midbrain infarction. Kor J Ophthalmol. 2018;32(2):154-6.

  33. Kim EJ, Kim MO, Kim CH, Joa KL, Jung HY. Abnormal ocular movement with executive dysfunction and personality change in subject with thalamic infarction: a case report. Ann Rehabil Med. 2015;39(6):1033-37.

  34. Asavaaree C, Doyle C, Smithason S. Artery of Percheron infarction results in severe bradicardia: A case report. Surg Neurol Int. 2018;9:230.

  35. Monroy S, Jiménez L, Meza N, Salcedo J. Infarto talámico bilateral por obstrucción de la arteria de Percherón: reporte de caso. Acta Neurol Colomb. 2017;33(2):104-14.

  36. Molina A, Cruz T, Calabuig I, Moltó J. Infarto talámico bilateral por compromiso de la arteria de Percheron. Rev Med Hondur. 2017;85(1 y 2):40-2.

  37. Liao B, Kamiya- Matsuoka C. Atipical isolated nuclear oculomotor nerve síndrome: a diagnostic challenge. BMJ Case Rep. 2015;2015:207749 DOI: http://dx.doi.org/10.1136/bcr-2014-207749

  38. Khan AO. Pupil - sparing complete third nerve palsy from cryptogenic midbrain stroke in an otherwise- healthy young adult with patent foramen ovale. Middle East Afr J Ophthalmol. 2012;19(2):237-9.

  39. Eberhardt O, Hermisson M, Eberle-Strauss G, Topka H. Bilateral fascicular third nerve palsy in posterior circulation stroke. Neuro-Ophthalmology. 2019;43(4):256-9.

  40. Sugawara E, Nakamura H, Endo M. Isolated unilateral ptosis due to paramedian midbrain infarction. J Stroke Cerebrovasc Dis. 2015;24:e121-e3.

  41. Virgo JD, Plant GT. Internuclear ophthalmoplegia. Pract Neurol. 2017;17(2):149-53.

  42. Zhang Y, Wang L, He M. Isolated INO as a presentation of midbrain paramedian area lacunar infarction in patients with diabetes. J Clin Neurosci. 2017;45:261-4.

  43. Kochar PS, Kumar Y, Sharma P, Kumar V, Gupta N. Isolated medial longitudinal fasciculus syndrome: Review of imaging, anatomy, pathophysiology and differential diagnosis. Neuroradiol J. 2018;31(1):95-99.

  44. Gold DR. Eye movement disorders: nystagmus and nystagmoid eye movements. In: Liu GT, Volpe NJ, Galetta SL, editors. Neuro-Ophthalmology. Elsevier; 2018. p. 585-610.

  45. Kanagalingam S, Miller NR. Horner syndrome: clinical perspectives. Eye Brain. 2015;7:35-46.

  46. Soto-Rincón CA, Castillo-Torres SA, Gil-Valadez A, Góngora-Rivera F. Síndrome comisural de Wernekink secundario a un ictus de la unión mesencéfalo-protuberancial. Rev Neurol. 2019;68:442-3.

  47. Zhou C, He Y, Chao Z, Zhu Y, Wang P, et al. Wernekink commissure syndrome secondary to bilateral caudal paramedian midbrain infarction presenting with a unique "Heart or V" Appearance Sign. Front Neurol. 2017;8:376.

  48. Huang J, Qiu Z, Zhou P, Li J, Chen Y, et al. Topographic location of unisolated pontine infarction. BMC Neurol. 2019;19:186.

  49. Haider AS. Unilateral internuclear ophthalmoplegia, strabismus and transient torsional nystagmus in focal pontine infarction. BMJ Case Rep. 2016;2016:216503.

  50. Min YG, Jung KH. Patterns of pontine strokes mimicking Bell´s palsy. BMC Neurol. 2019;19:208.

  51. Severiche D, Peralta M, Romero D, Henao C, Restrepo J, et al. Síndrome del uno y medio secundario a ataque cerebrovascular isquémico vertebrobasilar. Acta Neurol Colomb. 2015;31(2):190-4.

  52. Johkura K, Kudo Y, Amano Y, Kikyo H, Imazeki R, et al. Gaze palsy and exotropia in internuclear ophthalmoplegia. J Neurol Sci. 2015;353(1-2):158-60.

  53. Wondergem NE, Ziylan F, Bot JC, Visser MC, Rinkel R. Eight-and-a-half syndrome: A complex clinical syndrome caused by a single central lesion. Clin Neurol Neurosurg. 2020;194:105812.

  54. Cao S, Wang R, Xia M, Xu W. Atypical "nine" síndrome in bilateral pontine infarction: A case report. Baltimore: Medicine. 2019;98(28):e16378.

  55. Li M, Li X, Liu L, Zhu M, Lu D, et al. A case report of the rare fifteen - and- a - half syndrome. Baltimore: Medicine. 2019;98(12):e14553.

  56. Ceballos- Lizarraga R, Palomino-Díaz C, Romero-Figueroa JA. Wall-eyed monocular internuclear ophthalmoplegia and millard-gubler syndromes in a patient with isolated pontine infarction. Neurology. 2019;11(2):230-7.

  57. Newman DE, Kattah JC, Talkad AV, Wang DZ, Hsiang Y, et al. H.I.N.T.S to diagnose stroke in the acute vestibular syndrome. Stroke. 2009;40(11):3504-10.

  58. Lee TK, Park JY, Kim HA, Choi KD, Kim JS. Persistent nystagmus in chronic phase of lateral medullary infarction. J Clin Neurol. 2020;16(2):285-91.

  59. Pellegrini F, Interlandi E, Cuna Alessandra, Mandará E, Lee AG. Corneal Involment in Wallenberg Syndrome: Case Report and Literature Review. Neuro-ophthalmology. 2020;44(1):54-8.

  60. Yanagiha K, Ishii K, Ueno T, Marushima A, Tamaoka A. Medial medullary infarction caused by antineutrophil cytoplasmic antibody-related vaculitis. Baltimore: Medicine. 2017;96(33):e7722.

  61. Kim SH, Zee DS, du Lac S, Kim HJ, Kim JS. Nucleus prepositus hypoglossi lesions produce a unique ocular motor syndrome. Neurology. 2016;87(19):2026-33.

  62. Rucker JC. Nystagmus and saccadic intrusions CONTINUUM (MINNEAP MINN). Neuro-Ophthalmology:2019;25:51376-1400.

  63. Kang S, Shaikh AG. Acquired pendular nystagmus. J Neurol Sci. 2017;375:8-17.

  64. Patel VR, Zee DS. The cerebellum in eye movement control: nystagmus coordinate frames and disconjugacy. London: Eye. 2015;29(2):191-5.

  65. Bodranghien F, Bastian A, Casali C, Hallet M, Louis ED, et al. Consensus paper: revisting the symptoms and signs of cerebellar syndrome. Cerebellum. 2016;15(3):369-91.

  66. Naoi T, Morita M, Kawakami T, Fujimoto S. Ipsiversive ocular torsion, skew desviation, and hearing loss as initial signs of anterior inferior cerebellar artery infarction. Intern Med. 2018;57(13):1925-7.

  67. Satti SR, Golwala SN, Vance AZ, Tuerff SN. Subclavian steal: Endovascular treatment of total occlusions of the subclavian artery using a retrograde transradial subintimal approach. Interv Neuroradiol. 2016;22(3):340-8.

  68. Rawal AR, Bufano C, Saeed O, Khan A. Double Steal Phenomenon: Emergency Department Management of Recurrent Transient Ischemic Attack. Clin Pract Cases Emerg Med. 2019;3(2):144-8.

  69. Rad EM, Pouraliakbar HR. Isolation of the left brachiocephalic artery revisited: A 52-year literature review and introduction of a novel anatomic -clinical prognostic classification. Ann Pediatr Cardiol. 2019:117-29.




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