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Arch Ophthalmol. 2005;123:700-702.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Transient cortical blindness is an infrequent complication of endovascular procedures.^1-3 We describe a patient who developed transient cortical blindness associated with focal leptomeningeal enhancement on contrast-enhanced T1-weighted magnetic resonance imaging (MRI) following attempted placement of a peripherally inserted central venous catheter (PICC).

Report of a Case

A 57-year-old woman with metastatic carcinoma of the colon, which had spread to the liver and peritoneum, was hospitalized for partial small-bowel obstruction. Placement of a PICC for total parenteral nutrition (TPN) was attempted with inadvertent cannulation of the brachial artery and infusion of 10 mL of nonheparinized normal saline. The catheter was promptly removed; however, the patient began to complain of blurred vision in each eye approximately 15 minutes after the attempted PICC placement. During the procedure, the patient was hypertensive and tachycardic with a blood pressure of 170/120 mm Hg and a heart rate of 120 beats per minute. The patient's blood pressure was controlled with . . . [Full Text of this Article]

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AUTHOR INFORMATION
Steven Yeh, MD; Sheila Bazzaz, MD; Rod Foroozan, MD