Description
A young female, ten days post-partum, presented with features of bilateral cortical blindness, left-sided hemiparesis, bladder incontinence, confusion, inability to distinguish right from left, acalculia, alexia and agraphia. CT scan and MRI of the brain confirmed infarction of both parieto-occipital lobes. VEP showed increased latency. Other investigations like ESR, APLA and echocardiography was found to be normal. The patient had an ambiguous history of treatment of hypertensive encephalopathy one week prior to delivery, but there was no history of eclampsia or significant intra/post-partum haemorrhage. After five months follow-up, hemiparesis and other neurological signs have improved without any change in the visual status. This is a rare, established case of cortical blindness and Gerstmanns Syndrome without any clue regarding its aetilogy.
