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Ophthal Plast Reconstr Surg · Sep 2007
Case ReportsSubarachnoid hemorrhage and vasospastic stroke after self-enucleation.
- Brett S Kotlus and Mikel W Lo.
- Arizona Centre Plastic Surgery, Tucson, Arizona, USA. kotlus@gmail.com
- Ophthal Plast Reconstr Surg. 2007 Sep 1; 23 (5): 425-7.
AbstractA 31-year-old intoxicated woman self-enucleated her left eye during an acute psychotic episode. CT revealed avulsion of the intracranial optic nerve, chiasmal edema, and adjacent subarachnoid hemorrhage. Exploration via transconjunctival orbitotomy was performed, and the globe and 4.8 cm of contiguous optic nerve were removed. The patient developed postoperative contralateral visual loss followed by middle cerebral artery vasospasm and bilateral cortical infarcts.
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