Weekly Case Study: Case 16

One day following the delivery of normal baby by normal spontaneous delivery, this woman develops severe headache, vomiting, and visual impairment. She is cold and clammy.

NE

bilateral amaurosis with bitemporal hemianopsia
dilated and poorly reactive pupils
bilateral papilledema

PE

BP 60/40       P 120
cardiac - nl
neck - supple

MRI is performed.

Images

Questions:

  1. What has happened to this woman?What are potential causes of visual impairment related to pregnancy?Outline neurological (CNS, peripheral nervous system) complications of pregnancy.

  2. What is potential neurological complication of oral contraceptive medication?

  3. Outline common neurological (CNS, peripheral nervous system) complications of pregnancy.

  4. What is potential neurological complication of oral contraceptive medication?

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Films CT16 - Revised 6/21/2005