Hepatic encephalopathy (HE) reflects a spectrum of neuropsychiatric abnormalities seen in patients with liver dysfunction and is diagnosed after the exclusion of other known causes of cerebral dysfunction. Rarely, visual cortex may be affected in patients with liver disease and cortical blindness (CB) may occur. It may be the presenting feature of HE and may be mistaken for cerebral stroke, if it other features of HE are not present. It is usually transient and resolves with efficient treatment of encephalopathy. We report a case of transient CB with bilateral ptosis in a young patient of hepatic encephalopathy due to hepatitis B virus related chronic liver disease in view of its rarity and unusual presentation.
Visual loss, ptosis, liver disease, coma.