{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T12:32:11Z","timestamp":1718886731971},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>The acute postoperative monocular vision loss following anterior communicating artery aneurysm clipping secondary to posterior ischemic optic neuropathy (PION) a rare presentation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 32-year old patient presented with a spontaneous holocranial thunderclap headache for 7 days, associated with vomiting. The SAH was diagnosed with a tiny saccular aneurysm arising from the anterior communicating artery. A left pterional craniotomy and clipping of aneurysm were done. On the 3<jats:sup>rd<\/jats:sup> postoperative day, he complained of left-sided complete blindness, and on the 5<jats:sup>th<\/jats:sup> postoperative day, his GCS dropped to E4V1M5 with right-sided hemiplegia. MRI brain showed normal optic apparatus with bilateral ACA and left MCA territory infarct.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>The PION must be kept in the differential diagnosis of post-clipping sudden visual deterioration, especially following anterior communicating artery aneurysm rupture.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_551_2021","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T06:58:01Z","timestamp":1632121081000},"page":"471","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Posterior ischemic optic neuropathy with acute monocular vision loss following clipping of anterior communicating artery aneurysm. A case report and review of literature"],"prefix":"10.25259","volume":"12","author":[{"given":"Amit Kumar","family":"Sharma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Binita","family":"Dholakia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Jagetia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghanshyam Das","family":"Singhal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaam","family":"Bodeliwala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind Kumar","family":"Srivastava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daljit","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"10.25259\/SNI_551_2021\/ref-1","first-page":"1684","article-title":"A case of orbital infarction syndrome after intracranial aneurysm surgery","volume":"40","author":"Chung","year":"1999","journal-title":"J Korean Ophthalmol Soc"},{"key":"10.25259\/SNI_551_2021\/ref-2","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1159\/000068247","article-title":"Ischemic optic neuropathy associated with subarachnoid hemorrhage after rupture of anterior communicating artery aneurysm","volume":"217","author":"Hara","year":"2003","journal-title":"Ophthalmologica"},{"key":"10.25259\/SNI_551_2021\/ref-3","first-page":"2438","article-title":"Sudden unilateral blindness after intracranial aneurysm surgery","volume":"25","author":"Kang","year":"1996","journal-title":"J Korean Neurosurg Soc"},{"key":"10.25259\/SNI_551_2021\/ref-4","first-page":"53","article-title":"Five cases of orbital infarction syndrome caused by compression of surgical scalp flap","volume":"5","author":"Noh","year":"2003","journal-title":"-case report-Korean J Cerebrovasc Surg"},{"key":"10.25259\/SNI_551_2021\/ref-5","first-page":"219","article-title":"A case of bilateral blindness occurred during general anesthesia for anterior cerebral communicating artery aneurysm surgery","volume":"28","author":"Park","year":"1987","journal-title":"J Korean Ophthalmol Soc"},{"key":"10.25259\/SNI_551_2021\/ref-6","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1136\/jnnp.54.11.1017","article-title":"Visual failure following subarachnoid hemorrhage from an anterior communicating artery aneurysm rupture","volume":"54","author":"Ruben","year":"1991","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"10.25259\/SNI_551_2021\/ref-7","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/S0161-6420(95)30979-7","article-title":"Orbital infarction syndrome after surgery for intracranial aneurysms","volume":"102","author":"Zimmerman","year":"1995","journal-title":"Ophthalmology"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/posterior-ischemic-optic-neuropathy-with-acute-monocular-vision-loss-following-clipping-of-anterior-communicating-artery-aneurysm-a-case-report-and-review-of-literature\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/posterior-ischemic-optic-neuropathy-with-acute-monocular-vision-loss-following-clipping-of-anterior-communicating-artery-aneurysm-a-case-report-and-review-of-literature\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T06:58:08Z","timestamp":1632121088000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/posterior-ischemic-optic-neuropathy-with-acute-monocular-vision-loss-following-clipping-of-anterior-communicating-artery-aneurysm-a-case-report-and-review-of-literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,20]]},"references-count":7,"alternative-id":["10.25259\/SNI_551_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_551_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,20]]},"article-number":"471"}}