STATUS EPILEPTICUS AMAUROTICUS SECONDARY TO MENINGITIS AS A CAUSE OF POSTPARTUM CORTICAL BLINDNESS

Background and Objectives. A patient who underwent cesarean delivery w ith epidural anesthesia presented 6 days postpartum with acute cortica l blindness. Methods. Initial studies included an ophthalmology consul tation as well as a full neurologic workup, including cranial computed tomography, diagnostic lumbar puncture, magnetic resonance imaging, b ody fluid cultures, and electroencephalography. Early broad-spectrum a ntibiotic coverage was initiated, and because of possible epileptic ac tivity on electroencephalogram, phenytoin was added to the treatment r egimen. Results. Soon after beginning the initial phenytoin dose, the patient reported full return of her vision. She was eventually dischar ged from the hospital in good condition. Conclusions. This case report illustrates how blindness can be related to seizure activity.