Double-eye trouble after cardiac catheterization: A case report

Abstract

Strokes with neuro-ophthalmologic complications after cardiac catheterizations have been reported, with potentially debilitating consequences to patients. We present an interesting case of a 55-year-old male who was managed for new-onset heart failure with reduced ejection fraction. He complained of diplopia and became drowsy immediately after a diagnostic coronary angiogram, a concomitant right heart catheterization study, and left ventricular catheterization. Neurological examination showed that he had bilateral vertical gaze palsy. Magnetic resonance imaging of the brain revealed a left paramedian midbrain stroke. His symptoms resolved within 3 days, and he was discharged well on medical therapy after a period of observation.

Keywords

• cardiovascular diseases; diplopia; heart catheterization; postoperative complications; stroke