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Case Reports in Critical Care
Volume 2014, Article ID 671976, 3 pages
Case Report

Anterior Ischemic Optic Neuropathy as a Manifestation of HELLP Syndrome

Department of Neurology, Aster Medcity, Kochi, Kerala 682023, India

Received 7 May 2014; Revised 14 September 2014; Accepted 18 September 2014; Published 29 September 2014

Academic Editor: Gil Klinger

Copyright © 2014 Boby Varkey Maramattom. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Thrombotic microangiopathies (TMAs) are a group of disorders characterized by occurrence of thrombi of fibrin and/or platelets with microvascular occlusion and organ ischemia especially the kidney and brain. Hemolysis with a microangiopathic blood smear, elevated liver enzymes, and low platelet count (HELLP syndrome) is a type of TMA peculiar to pregnancy and may be associated with neurological complications. Visual complications in HELLP are usually related to cortical blindness. We present the first case of HELLP associated with bilateral anterior ischemic optic neuropathy (AION) and blindness which resolved with plasma exchange.