[Cortical blindess as symptom of pre-eclampsia]. / Ceguera cortical como síntoma de presentación de una preeclampsia.

Neurological complications during preeclampsia are not infrequent; the appearance of total blindness is rare, however. We report the case of a 32-year-old primipara with no outstanding history, who presented total loss of vision with no accompanying neurological symptoms during week 37 of the pregnancy. Effective early management of blood pressure to levels at which self-regulation of cerebral perfusion could be established allowed total recovery of vision 8 hours after admission to the intensive care recovery ward. Cranial computerized axial tomography (CAT) showed bilateral occipital subcortical edema that resolved after 8 days. The patient was released 13 days after admission with no sequelae.