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OBSTETRIC ANESTHESIA

Cortical Blindness in a Preeclamptic Patient After a Cesarean Delivery Complicated by Hypotension

Carl J. Borromeo, MD^*, George T. Blike, MD, Christopher W. Wiley, MD, and Joshua A. Hirsch, MD

Departments of *Anesthesiology and Radiology, Lahey Clinic, Burlington, Massachusetts; and Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

Address correspondence and reprint requests to Carl J. Borromeo, MD, Department of Anesthesiology, Lahey Clinic, 41 Mall Rd., Burlington, MA 01805. Address e-mail to carl.j.borromeo{at}lahey.org

Implications: Visual strokes can occur after prolonged hypotension or as a complication of preeclampsia-eclampsia. This case describes the diagnostic dilemma posed by a patient who developed transient blindness after a hypotensive episode during cesarean delivery for severe preeclampsia-eclampsia.

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