Status epilepticus amauroticus
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Status epilepticus amauroticus in a rare cause of cortical blindness. We report a patient, unique because her blindness was complete, of significant duration, unassociated with other evidence of seizures, and followed by complete recovery.
Case report. A 40-year-old right-handed woman developed blindness after undergoing coronary artery bypass surgery and mitral valve replacement. She was healthy until 6 months previously, when she suffered a mild myocardial infarction. During the operation she was on bypass for 3 hours and had a single 3-minute episode of hypoxemia (O2 saturation no less than 74%) without hypotension or other complications. Vital signs remained stable after surgery. Although without visual complaints the following morning, she was blind. General physical examination 20 hours postoperatively was unremarkable. She was alert and oriented to person and place. She lay with eyes closed, but intermittently would open them and display conjugate movements. She did not visually fixate. She was unable to name visually presented objects but could complete sentences accurately. She …
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