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Bilateral middle cerebral artery haemorrhagic infarcts presenting only as cortical blindness
  1. Animesh Das,
  2. Sucharita Anand
  1. Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Animesh Das, Department of Neurology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, 226014, India; animeshdas05{at}gmail.com

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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 …

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