Petrus L V, Lois J F, Lo W W
Department of Radiological Sciences, Olive View-UCLA Medical Center, Sylmar, CA 91342, USA.
AJNR Am J Neuroradiol. 1998 Sep;19(8):1522-4.
Leptomeningeal enhancement is usually infective or neoplastic in origin. We present a case in which a patient received total parenteral nutrition via a catheter unknowingly placed within the right vertebral artery. We postulate that the hyperosmolar nature of the infused solution induced temporary osmotic disruption of the blood-brain barrier, resulting in cortical blindness associated with localized leptomeningeal enhancement.