title: Late onset reversible cortical blindness following electrocution.
abstract: An elderly gentleman presented with acute onset of bilateral visual blurring and generalized headache after 1 week post electrocution injury. Clinically, the symptoms were attributed to cortical lesion. Magnetic resonance imaging (MRI) of brain revealed bilaterally symmetrical diffusion restriction in parietal and occipital areas. Treatment with intravenous steroids resulted in remarkable improvement in symptoms. Neurological injury secondary to electrocution is a well described entity having a variety of clinical presentation. We put forward our experience with this unique case presenting as post electrocution delayed onset of visual symptoms. Discussion and review of literature related to this clinical entity will also be presented.
authors.affiliation: Narayana Institute of Neurosciences, Narayana Health City, Bangalore, Karnataka, India. Electronic address: bhumirmeetsu@gmail.com.
authors.forename: Bhumir
authors.initials: B
authors.lastname: Chauhan
authors.affiliation: Narayana Institute of Neurosciences, Narayana Health City, Bangalore, Karnataka, India.
authors.forename: Vivek J
authors.initials: VJ
authors.lastname: Philip
authors.affiliation: Narayana Institute of Neurosciences, Narayana Health City, Bangalore, Karnataka, India.
authors.forename: Udaya C
authors.initials: UC
authors.lastname: Shankar
mesh_terms: D061605:Administration, Intravenous; D019575:Blindness, Cortical / Q000188:drug therapy* / Q000209:etiology* / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging; D004556:Electric Injuries / Q000150:complications*; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D000067562:Late Onset Disorders; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use*; D008875:Middle Aged; D009778:Occipital Lobe / Q000473:pathology*; D010296:Parietal Lobe / Q000473:pathology*
chemical_list: D005938:Glucocorticoids; D008775:Methylprednisolone
keywords: Cortical blindness; Delayed onset; Electrocution; Reversible; Steroids