[Emergency cesarean section in a patient with acute cortical blindness and eclampsia].
A 28-year-old parturient with acute cortical blindness and eclampsia was scheduled for an emergency cesarean section. Computed tomography (CT) of the head revealed low-density areas suggesting cerebral edema in posterior regions. The operation was performed under general anesthesia with sevoflurane. The brain edema was managed by concentrated-glycerin and steroid. The operation was performed uneventfully. Her consciousness returned to normal by the following day and visual recovery was complete within 72 hr postpartum. The patient and the infant showed no complication on their discharge.
Hiruta
Masahiro
M
Department of Anesthesiology and Critical Care Medicine, Jichi Medical School, Tochigi 329-0498.
Fukuda
Hirokazu
H
Hiruta
Akiko
A
Saitoh
Kazuhiko
K
Hirabayashi
Yoshihiro
Y
Seo
Norimasa
N
D000208:Acute Disease; D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D019575:Blindness, Cortical / Q000209:etiology / Q000628:therapy; D002585:Cesarean Section; D004461:Eclampsia / Q000150:complications / Q000628:therapy; D004630:Emergencies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008738:Methyl Ethers; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D000077149:Sevoflurane
D008738:Methyl Ethers; D000077149:Sevoflurane