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December 1984

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

Author Affiliations

From the Neuro-ophthalmology Unit, Departments of Neurological Surgery, Neurology, and Ophthalmology, University of California at San Francisco. Dr Monteiro is now with the Hospital das Clínicas of the University of São Paulo (Brazil) Medical School.

Arch Neurol. 1984;41(12):1300-1301. doi:10.1001/archneur.1984.04050230086027

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

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