Abstract
Bilateral Complete Visual Loss in Chiari I Malformation
Highlights
Acute bilateral visual loss is a rare presenting symptom, there are a multitude of diagnostic possibilities
We identified a case of Chiari I malformation as the underlying cause of acute bilateral visual loss
The following week, the patient returned to work and at the work place suffered another episode of bilateral complete visual loss associated with unresponsiveness, rigidity, diaphoresis and apnea
Summary
Acute bilateral visual loss is a rare presenting symptom, there are a multitude of diagnostic possibilities. We identified a case of Chiari I malformation as the underlying cause of acute bilateral visual loss. History A 29 year old Hispanic female from Puerto Rico presented with a chief complaint of acute bilateral visual loss She describes two to three episodes per week of complete visual loss where she sees absolutely nothing at all. This is associated with episodic unresponsiveness, diaphoresis, irregular breathing and extensor rigidity of the extremities which resembles a seizure disorder. The following week, the patient returned to work and at the work place suffered another episode of bilateral complete visual loss associated with unresponsiveness, rigidity, diaphoresis and apnea. Complete bilateral loss of vision due to a Chiari I malformation has not been officially reported
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