Bilateral Total Loss of Vision Following Eclampsia: A Case Report

Waziri-Erameh, M J M; Omoti, A E; Edema, OT

doi:10.2307/3583218

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…Acute vision loss in the post-partum period is reported due to severe preeclampsia/eclampsia (in which vision loss could be due to exudative retinal detachment, hypertensive retinopathy and cortical blindness) [ 8 ], PRES which can cause reversible acute vision loss [ 9 ], pituitary apoplexy [ 10 ], posterior ischemic optic neuropathy [ 11 ], anterior ischemic optic neuropathy [ 12 ], cortical venous sinus thrombosis [ 13 ], and central serous retinopathy [ 14 ]. Cryptococcal meningitis as a cause of acute vision loss in the post-partum period has not yet been reported in literature.…”

Section: Discussionmentioning

confidence: 99%

Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

Garg

Malhotra

et al. 2016

BMC Infect Dis

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BackgroundAcute vision loss in the post-partum period can occur due to many reasons. Eclampsia, posterior reversible encephalopathy syndrome (PRES), pituitary apoplexy, and central serous retinopathy are some of the important causes. Cryptococcal meningitis as a cause of acute vision loss in the post-partum period has not been mentioned in literature.Case presentationA 25-year-old female presented to us with acute bilateral complete vision loss in the post-partum period. Her serum was tested positive for HIV antibodies. Cerebrospinal fluid (CSF) examination revealed cryptococcal meningitis. She was started on amphotericin B, antiretroviral drugs, and steroids. Though symptoms of meningitis resolved after treatment no significant improvement in vision was observed at 3 months.ConclusionsCryptococcal meningitis may be considered as one of the causes of acute vision loss in pregnant/post-partum females with human immunodeficiency virus (HIV) positivity.

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Section: Discussionmentioning

confidence: 99%

Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

Garg

Malhotra

et al. 2016

BMC Infect Dis

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“…[45] Cortical blindness refers to reduced vision from bilateral damage to any portion of the visual pathways posterior to the lateral geniculate nucleus. Eye examination is typically normal, including a normal pupillary light reflex.…”

Section: Discussionmentioning

confidence: 99%

Postpartum amaurosis in a woman with severe preeclampsia

Mourelo

Álvarez

Díaz

et al. 2011

Indian Journal of Critical Care Medicine

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The maternal and perinatal fetal prognosis of preeclampsia depends on the gestational age of the fetus at onset, the severity of the disease, the quality of care, and the presence of pre-existent medical conditions. One of the uncommon effects of severe preeclampsia on the eye is sudden loss of vision. The present case report is of a woman with severe preeclampsia exacerbated by delivery that coursed with difficult-to-control arterial hypertension and reversible cortical amaurosis without impaired consciousness or seizures.

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“…C linical studies have shown the possibility of the development of cerebrovascular diseases in pregnancy, and eclampsia is the leading clinical syndrome associated with various neurological complications (1, 2). These may include cerebrovascular accidents and blindness (2–6). Cerebrovascular accidents in these patients may cause hemiparesis or hemiplegia.…”

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confidence: 99%

Cerebrovascular accident with quadriplegia following postpartum eclampsia

Okafor

Efetie

Onwuekwe

et al. 2006

Acta Anaesthesiol Scand

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A 26-year-old woman (para 1 + 0) was managed at the National Hospital, Abuja, Nigeria for postpartum eclampsia with quadriplegia following referral from a peripheral hospital with a history of a solitary tonic/clonic seizure and unconsciousness. Her antenatal period had been uneventful until she presented with labour pains, where examination revealed an elevated blood pressure. She fitted once after delivery and remained unconscious for more than 12 h, hence the referral. The patient was managed in the intensive care unit (ICU), where she was found to be quadriplegic. She received mechanical ventilation for 21 days as part of her management in the ICU. Despite multidisciplinary care, she remained quadriplegic until a doctors' strike precluded further in-patient management. This rare complication of eclampsia is discussed, together with the patient's management.

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Bilateral Total Loss of Vision Following Eclampsia: A Case Report

Cited by 6 publications

References 5 publications

Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

Acute vision loss in post-partum period as presenting symptom of HIV-associated cryptococcal meningitis–an unusual case report

Postpartum amaurosis in a woman with severe preeclampsia

Cerebrovascular accident with quadriplegia following postpartum eclampsia

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