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Puerperal Cerebral Blindness: Transient Bilateral Occipital Involvement From Presumed Cerebral Venous Thrombosis

Puerperal Cerebral Blindness: Transient Bilateral Occipital Involvement From Presumed Cerebral... Abstract In 1981, Beal and Chapman1 reported a case of puerperal cortical blindness with seizures as the only manifestation of presumed cerebral venous thrombosis. We report the isolated occurrence of transient cerebral blindness in the postpartum period. REPORT OF A CASE A 33-year-old woman had a full-term infant delivered by cesarean section. Three days later, she began to have progressively severe frontal headaches. At 1 AM on the fifth day, she noted blurred vision and saw multicolored photopsias. She slept for six hours and awoke blind, able to see only hand motions. Her headache had diminished. Pupillary light reactions were normal. General physical and neurologic examination results were normal, except for brachial BP of 166/94 mm Hg.A contrast-enhanced computed tomographic (CT) scan of the brain showed patchy areas of hypodensity in both occipital lobes (Fig 1). Lumbar puncture showed clear and colorless CSF under normal pressure. A CSF examination References 1. Beal MF, Chapman PH: Cortical blindness and homonymous hemianopia in the postpartum period . JAMA 1980;244:2085-2087.Crossref 2. Hellgren M, Blombäck M: Studies on blood coagulation and fibrinolysis in pregnancy, during delivery and in the puerperium: I. Normal condition . Gynecol Obstet Invest 1981;12:141-154.Crossref 3. Rudigoz RC, Arnaud MF, Dargent D, et al: Le risque thrombo-embolique pendant la grossesse et le post-partum: A propos de 28,828 grossesses . J Gynecol Obstet Biol Reprod 1981;10:155-161. 4. Bansal BC, Prakash C, Gupta RR, et al: Study of serum lipid and blood fibrinolytic activity in cases of cerebral venous thrombosis during the puerperium . Am J Obstet Gynecol 1974; 119:1079-1082. 5. Amias AG: Cerebral vascular disease in pregnancy: 2. Occlusion . J Obstet Gynaecol Br Commonw 1970;77:312-325.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Puerperal Cerebral Blindness: Transient Bilateral Occipital Involvement From Presumed Cerebral Venous Thrombosis

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1984.04050230086027
Publisher site
See Article on Publisher Site

Abstract

Abstract In 1981, Beal and Chapman1 reported a case of puerperal cortical blindness with seizures as the only manifestation of presumed cerebral venous thrombosis. We report the isolated occurrence of transient cerebral blindness in the postpartum period. REPORT OF A CASE A 33-year-old woman had a full-term infant delivered by cesarean section. Three days later, she began to have progressively severe frontal headaches. At 1 AM on the fifth day, she noted blurred vision and saw multicolored photopsias. She slept for six hours and awoke blind, able to see only hand motions. Her headache had diminished. Pupillary light reactions were normal. General physical and neurologic examination results were normal, except for brachial BP of 166/94 mm Hg.A contrast-enhanced computed tomographic (CT) scan of the brain showed patchy areas of hypodensity in both occipital lobes (Fig 1). Lumbar puncture showed clear and colorless CSF under normal pressure. A CSF examination References 1. Beal MF, Chapman PH: Cortical blindness and homonymous hemianopia in the postpartum period . JAMA 1980;244:2085-2087.Crossref 2. Hellgren M, Blombäck M: Studies on blood coagulation and fibrinolysis in pregnancy, during delivery and in the puerperium: I. Normal condition . Gynecol Obstet Invest 1981;12:141-154.Crossref 3. Rudigoz RC, Arnaud MF, Dargent D, et al: Le risque thrombo-embolique pendant la grossesse et le post-partum: A propos de 28,828 grossesses . J Gynecol Obstet Biol Reprod 1981;10:155-161. 4. Bansal BC, Prakash C, Gupta RR, et al: Study of serum lipid and blood fibrinolytic activity in cases of cerebral venous thrombosis during the puerperium . Am J Obstet Gynecol 1974; 119:1079-1082. 5. Amias AG: Cerebral vascular disease in pregnancy: 2. Occlusion . J Obstet Gynaecol Br Commonw 1970;77:312-325.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Dec 1, 1984

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