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Status epilepticus amauroticus secondary to meningitis as a cause of postpartum cortical blindness
M J Goldstein1, R L Parker, D M Dewan
1Department of Anesthesia (Section of Obstetric Anesthesia), Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina, USA.
Background And Objectives:
A patient who underwent cesarean delivery with epidural anesthesia presented 6 days postpartum with acute cortical blindness.
Methods:
Initial studies included an ophthalmology consultation as well as a full neurologic workup, including cranial computed tomography, diagnostic lumbar puncture, magnetic resonance imaging, body fluid cultures, and electroencephalography. Early broad-spectrum antibiotic coverage was initiated, and because of possible epileptic activity on electroencephalogram, phenytoin was added to the treatment regimen.
Results:
Soon after beginning the initial phenytoin dose, the patient reported full return of her vision. She was eventually discharged from the hospital in good condition.
Conclusions:
This case report illustrates how blindness can be related to seizure activity.
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