• Andrea M Ziegler, Drew A Spencer, Russ P Nockels, John P Leonetti, and Tarik F Ibrahim.
• Departments of Otolaryngology, Loyola University Medical Center, Maywood, Illinois, USA. Electronic address: andrea.ziegler@lumc.edu.
• World Neurosurg. 2019 Nov 1; 131: 58-61.

BackgroundPostoperative blindness is a devastating surgical complication. Although usually associated with prolonged cardiac and prone spinal operations, it may follow other procedures as well. Postoperative blindness is most commonly caused by a vascular etiology, but it can more rarely be caused by status epilepticus. We have previously reported a case of this phenomenon following a staged spinal deformity surgery.Case DescriptionHere we report 2 additional cases following a skull base procedure and a single stage lumbar spine surgery. In all instances, rapid recognition that the patients' blindness was due to occipital seizures resulted in acute antiepileptiform treatment and full restoration of vision.ConclusionsAlthough a rare phenomenon, this syndrome, first recognized and described by Tarik F. Ibrahim, should be considered in any patient with postoperative visual impairment.Copyright © 2019 Elsevier Inc. All rights reserved.

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