Third nerve palsy and serous retinal detachment with preeclampsia.
Visual disturbances occur more frequently during preeclampsia than during pregnancy in general, but visual disturbances due to cranial nerve palsy are rare. We present the case of a 35-year-old preeclamptic woman with left third nerve palsy and left serous retinal detachment. The patient complained of visual disturbance and double vision soon after cesarean section. Left third nerve palsy and left serous retinal detachment were diagnosed by urgent ophthalmologic evaluation. Aneurysm and organic brain lesion were ruled out by diagnostic imaging. By 2 months postpartum, the visual disturbance had improved spontaneously.
Watanabe
Hideki
H
Department of Obstetrics and Gynecology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan. hidekiwatanabe@nifty.com
Hamada
Hiromi
H
Fujiki
Yutaka
Y
Takeuchi
Sawako
S
Urushigawa
Kuni
K
Yoshikawa
Hiroyuki
H
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D015840:Oculomotor Nerve Diseases / Q000150:complications / Q000175:diagnosis*; D049590:Postpartum Period; D011225:Pre-Eclampsia; D011247:Pregnancy; D012163:Retinal Detachment / Q000150:complications / Q000175:diagnosis*; D014786:Vision Disorders / Q000209:etiology*