Sudden Bilateral Choroidal Detachment in a Patient with Posterior Reversible Encephalopathy Syndrome

  • Jasna Pavicic-Astalos Ophthalmology Department, Dr. Tomislav Bardek General Hospital, Koprivnica
  • Zoran Vatavuk University Department of Ophthalmology, Sestre Milosrdnice University Hospital, Zagreb
  • Goran Bencic University Department of Ophthalmology, Sestre Milosrdnice University Hospital, Zagreb
  • Biljana Andrijevic-Derk University Department of Ophthalmology, Sestre Milosrdnice University Hospital, Zagreb
  • Krunoslav Kuna University Department for Gynecology and Perinatology, Sestre Milosrdnice University Hospital, Zagreb
Keywords: Choroidal detachment, Preeclampsia, visual loss, encephalopathy, neurological deficit.

Abstract

BACKGROUND: Pre-eclampsia is one of the most important causes of a rare cliniconeuroradiological entity called posterior reversible encephalopathy syndrome. The syndrome is characterized by headacke, visual disturbances, seizures, altered mental status and radiological findings of edema in the white matter of the brain areas perfused by the posterior brain circulation.

CASE REPORT: Here we present a patient with sudden bilateral visual loss and deafness in early postnatal period without any other neurological deficits, but with affiliated ophthalmological pathology. The correct diagnosis was made 3 days after the Cesarean section.The patient was diagnosed with posterior reversible encephalopathy syndrome and bilateral choroidal detachment.

CONCLUSION: Vascular changes in posterior reversible encephalopathy syndrome can cause visual disturbances not only by brain edema, but combined brain and ocular pathology.

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Published
2014-09-15
How to Cite
1.
Pavicic-Astalos J, Vatavuk Z, Bencic G, Andrijevic-Derk B, Kuna K. Sudden Bilateral Choroidal Detachment in a Patient with Posterior Reversible Encephalopathy Syndrome. Open Access Maced J Med Sci [Internet]. 2014Sep.15 [cited 2021Jan.27];2(3):488-90. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2014.087
Section
C- Case Reports