Tarik Syndrome: Reversible Postoperative Blindness Secondary to Occipital Seizures. Journal Article

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Authors: Ziegler, AM; Spencer, DA; Nockels, RP; Leonetti, JP; Ibrahim, TF
Article Title: Tarik Syndrome: Reversible Postoperative Blindness Secondary to Occipital Seizures.
Abstract: BACKGROUND: Postoperative blindness is a devastating surgical complication. Although usually associated with prolonged cardiac and prone spinal operations, it may follow other procedures as well. Postoperative blindness is most commonly caused by a vascular etiology, but it can more rarely be caused by status epilepticus. We have previously reported a case of this phenomenon following a staged spinal deformity surgery. CASE DESCRIPTION: Here we report 2 additional cases following a skull base procedure and a single stage lumbar spine surgery. In all instances, rapid recognition that the patients' blindness was due to occipital seizures resulted in acute antiepileptiform treatment and full restoration of vision. CONCLUSIONS: Although a rare phenomenon, this syndrome, first recognized and described by Tarik F. Ibrahim, should be considered in any patient with postoperative visual impairment.
Journal Title: World neurosurgery
ISSN: 1878-8750
Publisher: Unknown  
Date Published: 2019