Posterior Reversible Encephalopathy Syndrome (PRES) Associated with Eclampsia: A Case Study
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2017, Vol 6, Issue 3
Abstract
The occurrence of posterior reversible encephalopathy syndrome (PRES) in patients with eclampsia is a rare condition. PRES is a reversible syndrome characterized by headache, seizure, altered mentation and loss of vision associated with white matter changes on imaging. The lesions in PRES are thought to be due to vasogenic oedema, predominantly in the posterior cerebral hemispheres. This study reports a 16-year-old pregnant woman who presented with blindness and seizure. The MRI of her brain showed abnormal signal intensity in the white matter of the occipital and frontal lobes. She was treated successfully with pregnancy termination, anti-hypertensives, anticonvulsants, and supportive care. It is concluded that early diagnosis is important to prevent permanent neurologic damage and mortality.
Authors and Affiliations
Maasoumeh Mirzamoradi| Department of Gynaecology and Obstetrics, Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Maryam-Sadat Hosseini| Department of Gynaecology and Obstetrics, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Maasoumeh Saleh| Department of Gynaecology and Obstetrics, Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Corresponding e-mail: Salehmaasoumeh@yahoo.com, Samaneh Esmaeili| Department of Gynaecology and Obstetrics, Mahdiyeh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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