Abstract
Strokes with neuro-ophthalmologic complications after cardiac catheterizations have been reported, with potentially debilitating consequences to patients. We present an interesting case of a 55-year-old male who was managed for new-onset heart failure with reduced ejection fraction. He complained of diplopia and became drowsy immediately after a diagnostic coronary angiogram, a concomitant right heart catheterization study, and left ventricular catheterization. Neurological examination showed that he had bilateral vertical gaze palsy. Magnetic resonance imaging of the brain revealed a left paramedian midbrain stroke. His symptoms resolved within 3 days, and he was discharged well on medical therapy after a period of observation.
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