{"title":"Status epilepticus amauroticus secondary to meningitis as a cause of postpartum cortical blindness.","authors":"M J Goldstein, R L Parker, D M Dewan","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>A patient who underwent cesarean delivery with epidural anesthesia presented 6 days postpartum with acute cortical blindness.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>This case report illustrates how blindness can be related to seizure activity.</p>","PeriodicalId":77347,"journal":{"name":"Regional anesthesia","volume":"21 6","pages":"595-8"},"PeriodicalIF":0.0000,"publicationDate":"1996-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Regional anesthesia","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
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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