• J Neuroophthalmol · Mar 2004

    Case Reports

    Bilateral occipital lobe hyperperfusion demonstrated by single photon emission computed tomography during seizure-related cortical blindness.

    • Jorge C Kattah, Meena Gujrati, Edward T Hui, and Charles C Chen.
    • Department of Neurology, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, 530 N.E. Glen Oak Ave., Peoria, IL 61637, USA. kattahj@uic.edu
    • J Neuroophthalmol. 2004 Mar 1; 24 (1): 24-6.

    AbstractAn 81-year-old woman with chronic dementia developed lethargy, confusion, binocular blindness, and episodic left-beating nystagmus. Diffusion magnetic resonance imaging (MRI) revealed high signal in the right occipital region suggesting recent ischemia. A concurrent electroencephalogram (EEG) showed a right occipital seizure focus that spread to the opposite occipital lobe. A single photon emission computed tomography (SPECT) performed during the seizure epoch showed bilateral occipital lobe hyperperfusion. This is the second report to document SPECT bi-occipital hyperperfusion in seizure-related cortical blindness.

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