Acute posterior multifocal placoid pigment epitheliopathy presenting with multiple brain and spinal cord infarctions

- APMPPE is a rare condition preferentially affecting young adults.
- It presents as blurred vision, central or paracentral scotomas or metamorphopsia.
- Diagnosis is based on fundoscopy evaluation and confirmed by fluorescein angiogram.
- Spinal cord infarction may be a rare APMPPE neurological complication.