Open AccessIsolated sixth Cranial Nerve Palsy in a Case Of Severe Pre Eclampsia Presenting as Postpartum Diplopia
Author(s) -
Aarti Yevale,
Akhila Vasudeva,
Anjali Mundkur,
Pratap Kumar,
Akshata Prabhu
Publication year - 2017
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2017/28903.10407
Subject(s) - diplopia , medicine , eclampsia , pregnancy , caesarean section , pathological , surgery , postpartum period , oculomotor nerve palsy , palsy , blind spot , cranial nerve palsy , ophthalmology , pediatrics , pathology , psychology , genetics , alternative medicine , neuroscience , biology
Visual symptoms in pregnancy are ominous. The spectrum of ocular symptoms seen in pre-eclampsia includes blurring of vision, scotoma, hemianopia and even total cortical blindness. Diplopia, though rare has also been reported in cases of pre-eclampsia and occurs due to pathological changes affecting the 6 th cranial nerve. Ocular symptoms of pre-eclampsia usually regress after delivery but occasionally may present in the postpartum period. We present a case of a 34-year-old lady with severe pre-eclampsia at 31 weeks of gestation with diplopia presenting seven days post caesarean section. No identifiable pathology was found and the condition recovered spontaneously once blood pressure control was achieved.