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A 70-year-old woman presented with sudden onset headache and vomiting followed by bilateral vision loss within the next 30 min while she was brushing in the morning. She did not have any seizures or focal deficit. On examination, she was found to be hypertensive with systolic blood pressure of 220 mm Hg and only perception of hand movement in bilateral eyes. Pupils were bilaterally 2 mm and reacting to light. Fundus examination showed grade 3 hypertensive retinopathy. Power in all four limbs was 5/5 at all joints. Sensory examination was not suggestive of any cortical sensory deficits. Cerebellar and extrapyramidal system examination …
Contributors AD managed the patient and wrote the manuscript. SA provided technical help in the preparation of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.