| Title |
Permanent Visual Deficits Secondary to the HELLP Syndrome |
| Creator |
Murphy, MA; Ayazifar, M |
| Affiliation |
Department of Ophthalmology, Rhode Island Hospital, Brown Medical School, APC 7, 593 Eddy Street, Providence, RI 02903, USA. margie.murphy@cox.net |
| Abstract |
A 34-year-old woman with eclampsia and the hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome developed encephalopathy, cardiomyopathy, pulmonary edema, liver failure, and disseminated intravascular coagulation (DIC), all of which resolved. She also had retinal hemorrhages in both eyes and a hemorrhagic infarct in the left occipital lobe that resulted in a permanent right homonymous hemianopia and a persistently depressed acuity of 20/100 OS. This case is unusual in demonstrating permanent visual deficits. In nearly all cases of preeclampsia or eclampsia, visual deficits are reversible. The superimposition of the HELLP syndrome may create more neurologic damage. Clinicians should be alert to patients at risk for HELLP syndrome and manage them aggressively. |
| Subject |
Adult; Blood Pressure, drug effects; Brain Infarction, diagnosis; Brain Infarction, drug therapy; Brain Infarction, etiology; Drug Therapy, Combination; Eclampsia, complications; Eclampsia, diagnosis; Eclampsia, drug therapy; Female; Furosemide, therapeutic use; HELLP Syndrome, complications; HELLP Syndrome, diagnosis; HELLP Syndrome, drug therapy; Hemianopsia, diagnosis; Hemianopsia, drug therapy; Hemianopsia, etiology; Humans, Intracranial Hemorrhages, diagnosis; Intracranial Hemorrhages, drug therapy; Intracranial Hemorrhages, etiology; Labetalol, therapeutic use; Magnetic Resonance Imaging; Mannitol, administration & dosage; Nifedipine, therapeutic use; Occipital Lobe, blood supply; Occipital Lobe, pathology; Pregnancy; Retinal Hemorrhage, diagnosis; Retinal Hemorrhage, drug therapy; Retinal Hemorrhage, etiology; Visual Acuity |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225464 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6574j3z/225464 |
