Binasal Hemianopsia Secondary to Bilateral Lesions of the Lateral Geniculate Bodies in Post-ERCP Pancreatitis: A Case Report and Literature Review
DOI:
https://doi.org/10.22516/25007440.1040Keywords:
Acute pancreatitis, endoscopic retrograde cholangiopancreatography, geniculate bodies, visual fields, visual acuityAbstract
Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is currently the standard procedure for treating pancreatobiliary conditions. As its use has increased, so has the incidence of associated complications, such as pancreatitis, bleeding, and perforation. Post-ERCP acute pancreatitis is the most common complication. While most cases are mild, some can be severe and, in very rare instances, may result in bilateral lesions of the lateral geniculate bodies, as in this case.
Case Report: A 28-year-old woman with a history of obesity presented with acute cholangitis due to choledocholithiasis. She underwent ERCP with bile duct stone removal and placement of a plastic stent. Forty-eight hours after the procedure, she developed severe post-ERCP pancreatitis and concurrent incongruent binasal hemianopsia. Brain magnetic resonance imaging revealed bilateral lesions of the lateral geniculate bodies (LGB). Ischemic, infectious, hydroelectrolytic, and autoimmune causes were ruled out. The patient’s clinical evolution was favorable.
Discussion: Although the mechanisms underlying lateral geniculate body lesions are not fully understood, in this case, severe post-ERCP acute pancreatitis and multiorgan involvement secondary to systemic inflammatory response syndrome (SIRS) are proposed as the likely etiology.
Downloads
References
Johnson KD, Perisetti A, Tharian B, Thandassery R, Jamidar P, Goyal H, et al. Endoscopic Retrograde Cholangiopancreatography-Related Complications and Their Management Strategies: A “Scoping” Literature Review. Dig Dis Sci. 2020;65(2):361-75. https://doi.org/10.1007/s10620-019-05970-3
Cahyadi O, Tehami N, de-Madaria E, Siau K. Post-ERCP Pancreatitis: Prevention, Diagnosis and Management. Medicina (B Aires). 2022;58(9):1261. https://doi.org/10.3390/medicina58091261
Ogawa Y, Nakagawa M, Yazaki M, Ikeda S, Shu S. An Abnormal MRI Signal in Both Lateral Geniculate Bodies Is a Diagnostic Indicator for Patients with Behçet’s Disease. Case Rep Neurol. 2014;6(1):78-82. https://doi.org/10.1159/000360848
Donahue SP, Kardon RH, Thompson HS. Hourglass-shaped Visual Fields as a Sign of Bilateral Lateral Geniculate Myelinolysis. Am J Ophthalmol. 1995;119(3):378-80. https://doi.org/10.1016/S0002-9394(14)71190-0
Tomlinson BE, Pierides AM, Bradley WG. Central pontine myelinolysis. Two cases with associated electrolyte disturbance. Q J Med. 1976;45(179):373-86.
Greenfield DS, Siatkowski RM, Schatz NJ, Glaser JS. Bilateral Lateral Geniculitis Associated With Severe Diarrhea. Am J Ophthalmol. 1996;122(2):280-1. https://doi.org/10.1016/S0002-9394(14)72030-6
Testoni P, Mariani A, Aabakken L, Arvanitakis M, Bories E, Costamagna G, et al. Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2016;48(07):657-83. https://doi.org/10.1055/s-0042-108641
Ahmed M, Kanotra R, Savani G, Kotadiya F, Patel N, Tareen S, et al. Utilization trends in inpatient endoscopic retrograde cholangiopancreatography (ERCP): A cross-sectional US experience. Endosc Int Open. 2017;05(04):E261-71. https://doi.org/10.1055/s-0043-102402
Lee HJ, Cho CM, Heo J, Jung MK, Kim TN, Kim KH, et al. Impact of Hospital Volume and the Experience of Endoscopist on Adverse Events Related to Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study. Gut Liver. 2020;14(2):257-64. https://doi.org/10.5009/gnl18537
Dumonceau JM, Kapral C, Aabakken L, Papanikolaou IS, Tringali A, Vanbiervliet G, et al. ERCP-related adverse events: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2020;52(02):127-49. https://doi.org/10.1055/a-1075-4080
Garg PK, Singh VP. Organ Failure Due to Systemic Injury in Acute Pancreatitis. Gastroenterology. 2019;156(7):2008-23. https://doi.org/10.1053/j.gastro.2018.12.041
Kosif R. The Thalamus: A Review of its Functional Anatomy. Med Res Arch. 2016;4(8). https://doi.org/10.18103/mra.v4i8.740
Atapour N, Worthy KH, Rosa MGP. Remodeling of lateral geniculate nucleus projections to extrastriate area MT following long-term lesions of striate cortex. Proc Natl Acad Sci U S A. 2022;119(4):e2117137119. https://doi.org/10.1073/pnas.2117137119
Fujita N, Tanaka H, Takanashi M, Hirabuki N, Abe K, Yoshimura H, et al. Lateral geniculate nucleus: anatomic and functional identification by use of MR imaging. AJNR Am J Neuroradiol. 2001;22(9):1719-26.
Skalicky SE. Ocular and Visual Physiology. Singapore: Springer Singapore; 2016. https://doi.org/10.1007/978-981-287-846-5
Prasad S, Galetta SL. Anatomy and physiology of the afferent visual system. Handb Clin Neurol. 2011;102:3-19. https://doi.org/10.1016/B978-0-444-52903-9.00007-8
Weyand TG. The multifunctional lateral geniculate nucleus. Rev Neurosci. 2016;27(2):135-57. https://doi.org/10.1515/revneuro-2015-0018
Casagrande V, Ichida J, Mavity-Hudson J. Distinct patterns of corticogeniculate feedback to different layers of the lateral geniculate nucleus. Eye Brain. 2014;2014(6 Suppl 1):57-73. https://doi.org/10.2147/EB.S64281
O’Connor DH, Fukui MM, Pinsk MA, Kastner S. Attention modulates responses in the human lateral geniculate nucleus. Nat Neurosci. 2002;5(11):1203-9. https://doi.org/10.1038/nn957
Liu A, Sanguino L. Right lateral geniculate nucleus infarct presenting as a left monocular temporal hemianopia. Clin Case Rep. 2019;7(6):1226-9. https://doi.org/10.1002/ccr3.2189
Goldman M. Demyelinating Lesion Isolated to the Lateral Geniculate Nucleus. J Neurol Neurophysiol. 2013;s12(1). https://doi.org/10.4172/2155-9562.S12-014
Lefèbvre PR, Cordonnier M, Balériaux D, Chamart D. An unusual cause of visual loss: involvement of bilateral lateral geniculate bodies. AJNR Am J Neuroradiol. 2004;25(9):1544-8.
Mudumbai RC, Bhandari A. Bilateral Isolated Lateral Geniculate Body Lesions in a Patient with Pancreatitis and Microangiopathy. Journal of Neuro-Ophthalmology. 2007;27(3):169-75. https://doi.org/10.1097/WNO.0b013e31814a5921
Bartel MJ, Bhalla R, Lopez Chiriboga AS, Eidelman BH, Lewis MD. Vision loss: another ERCP-related adverse event, also known as isolated bilateral lateral geniculate body infarction. Gastrointest Endosc. 2016;83(2):474-6. https://doi.org/10.1016/j.gie.2015.07.031
Merren MD. Bilateral lateral geniculate body necrosis as a cause of amblyopia. Neurology. 1972;22(3):263-263. https://doi.org/10.1212/WNL.22.3.263
Imes RK, Kutzscher E, Gardner R. Binasal hemianopias from presumed intrageniculate myelinolysis: report of a case with MR images of bilateral lateral geniculate involvement after emergency cesarean section and hysterectomy. Neuro-Ophthalmology. 2004;28(1):45-50. https://doi.org/10.1076/noph.28.1.45.17336
Moseman CP, Shelton S. Permanent blindness as a complication of pregnancy induced hypertension. Obstet Gynecol. 2002;100(5 Pt 1):943-5. https://doi.org/10.1016/S0029-7844(02)02250-0
Baker CF, Jeerakathil T, Lewis JR, Climenhaga HW, Bhargava R. Isolated bilateral lateral geniculate infarction producing bow-tie visual field defects. Can J Ophthalmol. 2006;41(5):609-13. https://doi.org/10.1016/S0008-4182(06)80033-5
Viloria A, Jiménez B, Palacín M. Reversible severe bilateral visual loss in an unusual case of bilateral lateral geniculate myelinolysis during acute pancreatitis. BMJ Case Rep. 2015;bcr2015212409. https://doi.org/10.1136/bcr-2015-212409
Mathew T, D′Souza D, Nadig R, Sarma Gosala RK. Bilateral lateral geniculate body hemorrhagic infarction: A rare cause of acute bilateral painless vision loss in female patients. Neurol India. 2016;64(1):160-2. https://doi.org/10.4103/0028-3886.173671
Murugesan S, Senthilkumar E, Kumar K, Shah V. Isolated bilateral lateral geniculate body necrosis following acute pancreatitis: A rare cause of bilateral loss of vision in a young female. J Postgrad Med. 2023;69(1):53-55. https://doi.org/10.4103/jpgm.jpgm_1134_21
Pun A, Kumar Sah K, Kumar Shah S, Bastola R. Post Endoscopic Retrograde Cholangiography Bilateral Loss of vision: A Case Report. JNMA J Nepal Med Assoc. 2021;59(242):927-9. https://doi.org/10.31729/jnma.6548
Albacete Ródenas P, Ortiz Sánchez ML, Gajownik U, Alberca de las Parras F, Pons Miñano JA. Pancreatic encephalopathy, a little-known complication of acute pancreatitis. Rev Esp Enferm Dig. 2022;114(2):122-123. https://doi.org/10.17235/reed.2021.8241/2021
Mackenzie I, Meighan S, Pollock EN. On the projection of the retinal quadrants on the lateral geniculate bodies, and the relationship of the quadrants to the optic radiations. Trans Ophthalmol Soc UK. 1933;53:142-169.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista colombiana de Gastroenterología
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
Los autores/as ceden sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación en esta revista.
Los contenidos están protegidos bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
