EJMCR |

Case Report

Volume: 5 | Issue: 10 | Published: Nov 09, 2021 | Pages: 283 - 286 | DOI: 10.24911/ejmcr/173-1596824862

Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome

Authors: Mamta Bhat , Santanu Acharya

Article Info

Authors

Mamta Bhat

Department of Obstetrics and Gynaecology, Ayrshire Maternity Unit, University Hospital Crosshouse, Kilmarnock.

Santanu Acharya

Department of Obstetrics and Gynaecology, Ayrshire Maternity Unit, University Hospital Crosshouse, Kilmarnock.

Publication History

Received: August 07, 2020

Revised: October 02, 2021

Accepted: October 07, 2021

Published: November 09, 2021

Abstract

Background: Posterior reversible encephalopathy syndrome (PRES) is an unusual clinical entity seen associated with blood pressure (BP) fluctuations presenting with acute neurological symptoms. This is an unusual case of PRES due to severe preeclampsia, with clinical presentation of cortical blindness and hypertension, with absence of headache or seizures. Case Presentation: A primigravida, with no significant medical history, presented with significant proteinuria and worsening generalized itching and normotensive at 37 weeks 6 days of gestation. Due to elevated urate and raised urine protein induction of labor was planned. Ten minutes after vaginal delivery, patient reported sudden loss of vision with only being able to perceive light. She developed hypertension, hyperreflexia, and clonus. Aggressive management for severe pre-eclampsia was initiated. Her vision started improving as soon as her BP started normalizing. Imaging revealed the possibility of PRES with a superimposed focus of acute ischemia. She was discharged on antihypertensives and followed up by renal physicians. Within 2 months she recovered very well. Conclusion: This is an unusual case of PRES due to severe pre-eclampsia, with clinical presentation of only cortical blindness with absence of headache or seizures. Prompt recognition and aggressive management of severe pre-eclampsia resulted in resolution of symptoms.

Keywords: Posterior reversible encephalopathy syndrome, pre-eclampsia, cortical blindness, hypertension, headache, pregnancy, green

Pubmed Style

Mamta Bhat, Santanu Acharya. Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome. EJMCR. 2021; 09 (November 2021): 283-286. doi:10.24911/ejmcr/173-1596824862

Web Style

Mamta Bhat, Santanu Acharya. Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome. https://ejmcr.com/articles/1289 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1596824862

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Mamta Bhat, Santanu Acharya. Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome. EJMCR. (2021), [cited December 25, 2024]; 09 (November 2021): 283-286. doi:10.24911/ejmcr/173-1596824862

Harvard Style

Mamta Bhat, Santanu Acharya (2021) Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome. EJMCR, 09 (November 2021): 283-286. doi:10.24911/ejmcr/173-1596824862

Chicago Style

Mamta Bhat, Santanu Acharya. "Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome." 09 (2021), 283-286. doi:10.24911/ejmcr/173-1596824862

MLA (The Modern Language Association) Style

Mamta Bhat, Santanu Acharya. "Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome." 09.November 2021 (2021), 283-286. Print. doi:10.24911/ejmcr/173-1596824862

APA (American Psychological Association) Style

Mamta Bhat, Santanu Acharya (2021) Transient cortical blindness at delivery-an unusual case report on posterior reversible encephalopathy syndrome. , 09 (November 2021), 283-286. doi:10.24911/ejmcr/173-1596824862