Acute onset of blindness during labor: report of a case of transient cortical blindness in association with HELLP syndrome.
The coincidence of HELLP syndrome and cortical blindness is an uncommon but very dramatic event, for the patient as well as the obstetrician. This report describes the first case of HELLP-syndrome-associated cortical blindness occuring suddenly in the third stage of labour. There were only modest correlates of cortical blindness in cerebral CT, MRI and angiography findings, but no signs of a posterior leucoencephalopathy syndrome. Mother and baby were discharged from hospital to outpatient care in good health on the 12th day.
Ebert
A D
AD
Department of Obstetrics and Gynecology, Medical Center Benjamin Franklin, Free University Berlin, Germany. Eberta@LTIBLP.nci.nih.gov
Hopp
H S
HS
Entezami
M
M
Runkel
S
S
Weitzel
H K
HK
D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001034:Apgar Score; D019575:Blindness, Cortical / Q000150:complications* / Q000503:physiopathology; D001794:Blood Pressure; D003975:Diazepam / Q000627:therapeutic use; D004078:Dihydralazine / Q000627:therapeutic use; D004569:Electroencephalography; D005260:Female; D017359:HELLP Syndrome / Q000150:complications* / Q000503:physiopathology; D006635:Histamine H2 Antagonists / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric / Q000502:physiology*; D008099:Liver / Q000201:enzymology; D008278:Magnesium Sulfate / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D009553:Nimodipine / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D011247:Pregnancy; D011899:Ranitidine / Q000627:therapeutic use
D000889:Anti-Arrhythmia Agents; D000893:Anti-Inflammatory Agents; D000927:Anticonvulsants; D000959:Antihypertensive Agents; D006635:Histamine H2 Antagonists; D009553:Nimodipine; D008278:Magnesium Sulfate; D011899:Ranitidine; D011239:Prednisolone; D004078:Dihydralazine; D003975:Diazepam