TY - JOUR T1 - Transient cortical blindness following gadolinium contrast JF - Practical Neurology JO - Pract Neurol DO - 10.1136/practneurol-2017-001873 SP - practneurol-2017-001873 AU - Dimitri Renard AU - Constance Chevalier AU - Anne Wacongne Y1 - 2018/02/06 UR - http://pn.bmj.com/content/early/2018/02/06/practneurol-2017-001873.abstract N2 - A 49-year-old man developed transient (48 hours) cortical blindness following diagnostic cerebral angiography (normal) that had been performed to investigate a cerebellar haemorrhage from 6 months before. His blood pressure was normal during the diagnostic angiography. Gadolinium-enhanced MR scan of brain 2 hours after angiography showed restricted diffusion in the occipital cortex, predominantly left sided, with normal fluid attenuation inversion recovery (FLAIR) sequences (figure 1). Seven hours later, diffusion-weighted imaging was unchanged but FLAIR showed bilateral subarachnoid occipital hyperintensities which were not visible on other sequences, including T2*-weighted imaging (figure 1). Six days later, repeat imaging was completely normal (figure 1).Figure 1 Initial gadolinium-injected MR scan of brain showing restricted diffusion predominantly in the left occipital cortex (A, diffusion-weighted imaging; B, apparent diffusion coefficient), with normal fluid attenuation inversion recovery (FLAIR) imaging (C). MR scan of … ER -