| CASE REPORT |
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| Year : 2021 | Volume
: 11
| Issue : 4 | Page : 413-416 |
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Transient cortical blindness secondary to hepatic encephalopathy in a pediatric patient: A case report and literature review
Ahmad Sukari Ain-Nasyrah1, Norizan Abdul Majid2, Ismail Shatriah3
1 Ophthalmology Clinic, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
2 Pediatrics Clinic, Hospital Universiti Sains Malaysia; Department of Pediatrics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
3 Ophthalmology Clinic; Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
Correspondence Address:
Dr. Ismail Shatriah
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan
Malaysia
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjo.tjo_43_20
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Cortical blindness, also known as cerebral visual impairment, may occur in pediatric patients. Hepatic encephalopathy is a rare cause of cortical blindness in children. This report describes a girl with underlying type 1 autoimmune hepatitis, who complained of sudden-onset, painless visual loss in both eyes, which was associated with generalized headache and altered mental status. She was treated with intravenous antibiotics and syrup lactulose. The patient regained full visual recovery after 1 week. Prompt diagnosis and treatment are mandatory in such uncommon instances.
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