Posterior reversible encephalopathy syndrome and pregnancy: a Moroccan retrospective study of a patient’s oligo series

Authors

  • Aboubakr Benjilany Department of Obstetrics and Gynecology, Military Hospital of Instruction Mohamed V, Rabat, Morocco
  • Jaouad Kouach Department of Obstetrics and Gynecology, Military Hospital of Instruction Mohamed V, Rabat, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213865

Keywords:

PRES, Pregnancy, Retrospective studies, Morocco

Abstract

Posterior reversible encephalopathy syndrome (PRES) is an entity combining reversible central nervous system damages with characteristic magnetic resonance imaging (MRI) brain imaging, it can occur in peripartum regardless of any preexisting pathology. PRES in peripartum is a poorly understood phenomenon. Early diagnosis and management are essential to prevent irreversible neurological sequelae. We report 6 cases series of PRES, collected at obstetrics and gynecology department of the military hospital Mohamed V in Rabat, between 2000 and 2019, in order to describe and analyze epidemiological, clinical, paraclinical and therapeutic aspects. Average age was 27 years old. Found symptoms were: high blood pressure, seizures, headaches, visual disturbances, consciousness disorders, vivid osteotendinous reflexes, vertigo, nausea and vomiting. Associated complications were status epilepticus, eclampsia, haemolysis, elevated liver enzymes, low platelet count (HELLP) syndrome and acute lung edema. Radiologically, found lesions are suggestive of PRES. After management, evolution was favorable in all patients.

 

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Published

2021-09-27

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Case Series