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Bilateral posterior cerebral artery infarcts in cortical blindness

A 49-year-old female developed sudden bilateral vision loss after an interventional procedure for embolization for uterine leiomyoma due to thromboembolism. CT revealed hypoattenuating ill-defined areas of low attenuation seen in the occipital lobes bilaterally, more extensive on the right side than the left. MRI showed areas of restricted diffusion with loss of gray-white matter differentiation seen predominantly involving the bilateral occipital lobes. She slowly improved to 20/100 in both eyes with conservative measures. (Contributed by Dr. Sangeeta Khanna.)

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