Pulmonary edema and transeint blindness in postpartum eclampsia : A case report.

Abstract

A-24-year-old primigravida woman with twin fetus of 36 weekûs gestation, presented with preeclampsia and underwent cesarean section. On the second day of postpartum, she complaint generalized headache and blurr vision, followed by generalized tonic-clonic seizure about one minute. She had pulmonary edema and completely lost her vision while pupillary reaction was preserved. Treatment was initiated with intravenous MgSO4, furosemide and antihypertensive drugs. Cranial computed tomography showed hypodensity area in the bilateral external capsule, internal capsule and occipital lobes suggesting cerebral edema. Echocardiography revealed dilated cardiomyopathy which caused pulmonary edema. There was no recurrence of seizure activity. Vision acuity returned to normal by the following day. Finally, she made a complete recovery.