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Homonymous hemianopia following a triplet pregnancy: post-natal cerebral vasculitis or atypical eclampsia
Stephen D Keay1, Stephen G M Carroll, Mark Scrutton
1Departments of Obstetrics and Gynaecology, St. Michael's Hospital, Southwell St., Bristol BS2 8EG, UK.
Abstract:
A 46-year-old woman with a triplet pregnancy developed seizures, an oculogyric crisis and a homonymous hemianopia post-natally. Abnormal neuroimaging studies and lumbar puncture suggested possible cerebral vasculitis. Treatment with aciclovir and prednisolone resulted in a slow resolution of symptoms. This case highlights the difficulty in distinguishing eclampsia from rarer neurological causes of peripartum seizures.