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Cortical blindness in obstetric patients: case report of two different presentations

N P Edomwonyi1, H Idehen

  • 1Department of Anaesthesia,University of Benin Teaching Hospital, PMB 1111, Benin City, Edo State, Nigeria. nosaphilo@yahoo.com

The Nigerian Postgraduate Medical Journal
|August 21, 2013
PubMed

Cortical blindness can complicate pre-eclampsia/eclampsia. This normally resolves between a few hours and days with full restoration of patients sight. In this case report, we present the clinical course of two women in whom eclampsia was further complicated with blindness. One had pre-partum blindness which resolved after few hours while the second developed post-partum blindness that occurred after an episode of ischaemic cerebrovascular accident (CVA) and it became persistent. The patients were managed by standard pre-eclampsia/ eclampsia regimen; these entail the use of intravenous magnesium sulphate, i/v hydralazine and fluid restriction, as well as expedite delivery. Diagnosis was further confirmed by computed tomography (CT) that demonstrated low density areas localised predominantly in the occipital areas.

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