Jasna Pavicic-Astalos^1*, Zoran Vatavuk², Goran Bencic², Biljana Andrijevic-Derk², Krunoslav Kuna<sup>3

1</sup>Ophthalmology Department, Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia; ²University Department of Ophthalmology, Sestre Milosrdnice University Hospital, Zagreb, Croatia; ³University Department for Gynecology and Perinatology, Sestre Milosrdnice University Hospital, Zagreb, Croatia



 

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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Citation: Pavicic-Astalos J, Vatavuk Z, Bencic G, Andrijevic-Derk B, Kuna K. Sudden Bilateral Choroidal Detachment in a Patient with Posterior Reversible Encephalopathy Syndrome. Maced J Med Sci. 2014 Sep 15; 7(3):488-490. http://dx.doi.org/10.3889/MJMS.1857-5773.2014.0411.
Key words: Choroidal detachment; Preeclampsia; visual loss; encephalopathy; neurological deficit.
*Correspondence: Jasna Pavicic-Astalos, MD. Ophthalmology Department, Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia. Tel.+385 91505 4730. Fax: + 385 48 714484. E-mail: jpastalos@gmail.com
Received: 01-Apr-2014; Revised: 15-May-2014; Accepted: 17-May-2014; Online first: 09-Jul-2014
Copyright: © 2014 Pavicic-Astalos et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Competing Interests: The authors have declared that no competing interests exist.

 

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