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Third nerve palsy and serous retinal detachment with preeclampsia

Hideki Watanabe1, Hiromi Hamada, Yutaka Fujiki

  • 1Department of Obstetrics and Gynecology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan. hidekiwatanabe@nifty.com

Hypertension in Pregnancy
|April 15, 2006
PubMed

Visual disturbances occur more frequently during preeclampsia than during pregnancy in general, but visual disturbances due to cranial nerve palsy are rare. We present the case of a 35-year-old preeclamptic woman with left third nerve palsy and left serous retinal detachment. The patient complained of visual disturbance and double vision soon after cesarean section. Left third nerve palsy and left serous retinal detachment were diagnosed by urgent ophthalmologic evaluation. Aneurysm and organic brain lesion were ruled out by diagnostic imaging. By 2 months postpartum, the visual disturbance had improved spontaneously.

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