Posterior reversible encephalopathy syndrome: a case report
Keywords:
Posterior reversible encephalopathy syndrome, Eclampsia, PreeclampsiaAbstract
Posterior Reversible Encephalopathy Syndrome (PRES) is a clinic radiological entity, characterized by variable associations of seizure activity, consciousness impairment, headache, visual abnormalities, nausea and vomiting and focal neurological signs. The global incidence of PRES is not known. It can develop in association with conditions like exposure to toxic agents, hypertension, infection and eclampsia was present in 7%. So, here I am presenting a case of our patient of 22 years primigravida, who presented with ante partum eclampsia at 28 weeks of gestation and delivered vaginally by induction of labor. Post-delivery she developed PRES which was diagnosed by MRI.
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References
Bartynski WS. PRES part 1: fundamental imaging and clinical features. AJNR Am J Neuroradiol. 2008;29:1036-42.
Lee VH, Wijdicks EF, Manno EM, Rabin Stein AA. Clinical spectrum of PRES. Arch Neurol. 2008;65:205-10.
McKinney AM, Short J, Truvit CL, McKinney ZJ, Kozak OS, SantaCruz KS, et al. PRES: incidence of atypical regions of involvement and imaging findings. AJR Am J Roentgenol. 2007;189:904-12.
Koch S, Rabinstein A, Falcon S, Forteza A. Diffusion-weighted imaging shows cytotoxic and vasogenic edema in eclampsia. AJNR Am J Neuroradiol. 2001;22:1068-70.
Schaefer PW, Buonanno FS, Gonzalez RG, Schwamm LH. Diffusion-weighted imaging discriminates between cytotoxic and vasogenic edema in a patient with eclampsia. Stroke. 1997;28:1082-5.
(Dekker GA, Sibai BM. Etiology and pathogenesis of preeclampsia: current concepts. Am J Obstet Gynecol. 1998;179:1359-75.
Bartynski WS. PRES, part 2: controversies surrounding pathophysiology of vasogenic edema. AJNR Am J Neuroradiol. 2008;29:1043-9.
Moratella MB. PRES. Emergency Med J. 2010;27:547.
