Moslemi Mohammad Kazem, Soleimani Mohammad, Faiz Hamid Reza, Rahimzadeh Poupak
Department of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
Am J Case Rep. 2013 Sep 20;14:376-9. doi: 10.12659/AJCR.889353. eCollection 2013.
Male, 4 FINAL DIAGNOSIS: Cortical blindness after complicated general anesthesia Symptoms: Blindness • fine motor activity derangements
Rare disease.
We report a case of transient cortical blindness after urological surgery.
We present the case of a 4-year-old boy with visual loss following complicated general anesthesia during urological surgery. The results of ophthalmological examinations were normal. The complication was diagnosed as cortical blindness after obtaining an extinguished flash visual-evoked potential (flash VEP). The visual acuity persisted to be hand motion after 4 months.
We report a very rare case of cortical blindness after urological surgery. Unrecognized causes of cortical blindness are common in the children. Because of the long survival and increasing surgical management in this age group, it is of great importance and perhaps it will be necessary to alert parents about it. Anesthesiologists have a unique opportunity to facilitate positive outcomes for these patients through risk identification and appropriate management.
男性，4岁 最终诊断：复杂全身麻醉后皮质盲 症状：失明•精细运动活动紊乱
罕见疾病
我们报告一例泌尿外科手术后短暂性皮质盲病例。
我们呈现一名4岁男孩在泌尿外科手术复杂全身麻醉后视力丧失的病例。眼科检查结果正常。在获得熄灭的闪光视觉诱发电位（闪光VEP）后，该并发症被诊断为皮质盲。4个月后视力仍为手动。
我们报告了一例非常罕见的泌尿外科手术后皮质盲病例。皮质盲未被识别的病因在儿童中很常见。由于该年龄组的生存期延长和手术治疗增加，提醒家长注意这一点非常重要，也许有必要。麻醉医生有独特的机会通过风险识别和适当管理为这些患者促成积极的结果。
