Cortical visual impairment as an initial clinical manifestation of post-traumatic brain injury: A case report and review of literature

摘要

BackgroundAlthough unilateral epidural hematoma (EDH) has been well documented, its presentation with subdural hematoma (SDH) post-traumatic brain injury, especially on the same side and accompanied with cortical visual impairment (CVI) as an initial clinical manifestation, is a rare occurrence, thus determining the outcome.Case descriptionWe describe a unique case of acute post-traumatic CVI due to EDH accompanied with SDH at the right occipital lobe caused due to bone fractures and cerebral contusion that was identified at Dr. Hasan Sadikin Bandung Hospital. EDH accompanied with SDH was evacuated and the dura mater tear was repaired. The ophthalmologicexamination revealednormal visual acuity recovery postoperatively.ConclusionWe discuss the pathological mechanisms of acute post-traumatic CVI with an emphasis on the importance of lesions located along the visual tract.