Bilateral Cortical blindness presenting as a postoperative complication rather than initial symptom following head injury (evacuation of extradural hematoma right frontal region): A rare occurrence – Case report and literature review

Background: Unilateral epidural hematoma following head injury, causing bilateral blindness, is a rare complication occurring postoperatively, thus determining the outcome of surgery. Case Description: We present a rare case of unilateral frontal extradural hematoma that was operated on, and evacuation was performed. Postoperatively, the patient developed bilateral blindness. The patient was evaluated and was found to have a bilateral occipital lobe infarct. Conclusion: We tried to evaluate possible pathological mechanisms of acute posttraumatic cortical blindness. Most of the cases reported previously were associated with cortical blindness as an initial symptom rather than a complication following surgery.

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Publication Details

Journal
Surgical Neurology International
Published
2026-08-21
DOI
https://doi.org/10.25259/sni_200_2026
Primary Topic
Traumatic Brain Injury and Neurovascular Disturbances
Type
article
Field-Weighted Citation Impact
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article

Bilateral Cortical blindness presenting as a postoperative complication rather than initial symptom following head injury (evacuation of extradural hematoma right frontal region): A rare occurrence – Case report and literature review

Sandeep Bhardwaj, Manish Chaurasiya, Aiman Abidi
Surgical Neurology International
Traumatic Brain Injury and Neurovascular Disturbances
article

Bilateral Cortical blindness presenting as a postoperative complication rather than initial symptom following head injury (evacuation of extradural hematoma right frontal region): A rare occurrence – Case report and literature review

Sandeep Bhardwaj, Manish Chaurasiya, Aiman Abidi
article en

Abstract

Background: Unilateral epidural hematoma following head injury, causing bilateral blindness, is a rare complication occurring postoperatively, thus determining the outcome of surgery. Case Description: We present a rare case of unilateral frontal extradural hematoma that was operated on, and evacuation was performed. Postoperatively, the patient developed bilateral blindness. The patient was evaluated and was found to have a bilateral occipital lobe infarct. Conclusion: We tried to evaluate possible pathological mechanisms of acute posttraumatic cortical blindness. Most of the cases reported previously were associated with cortical blindness as an initial symptom rather than a complication following surgery.

Surgical Neurology InternationalVol. 17
BLK Super Speciality Hospital (IN), Institute of Medical Sciences (IN)
Good health and well-being
Openalex Percentile: Top 10%
Traumatic Brain Injury and Neurovascular Disturbances
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