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Ceguera tras cirugía discal lumbar: Aspectos asistenciales y médico-legales. Presentación de un caso y revisión de la Literatura

DOI: 10.4321/S1135-76062009000400004

Keywords: disc surgery, surgical complications, cortical blindness, malpractice, informed consent, air embolism, ischemic optic neuropathy.

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Abstract:

between the complications of lumbar disc surgery, one with small frequency but very incapacitating consequences is blindness. we communicate a case of transitory cortical blindness after l5-s1 conventional microdiskectomy. possible causes described by literature are discussed, proposing the air embolism as a probable origin of cortical blindness in this case. considering that perioperative blindness it is a complication with difficult diagnosis, but potential preventive measures and treatment can be adopted, medico-legal problems are also analyzed, mainly in negligence expert assessment and informed consent.

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