Posterior reversible encephalopathy syndrome in a patient with late postpartum eclampsia.
Medicine (Baltimore)
; 102(45): e35867, 2023 Nov 10.
Article
in En
| MEDLINE
| ID: mdl-37960797
ABSTRACT
RATIONALE Posterior reversible encephalopathy syndrome (PRES) is a rare complication commonly associated with headache and acute changes in blood pressure that results from a variety of causes, culminating in vasogenic cerebral edema in the occipital and parietal lobes of the brain. PATIENT CONCERNS We report here a woman who suffered from headache, generalized tonic-clonic seizures, and cortical blindness in the late postpartum period. DIAGNOSES Posterior reversible encephalopathy syndrome. INTERVENTIONS:
The patient was treated with amlodipine besylate tablets for hypertension, dehydration with mannitol and glycerin fructose, and antispasmodic treatment with sodium valproate and oxcarbazepine.OUTCOMES:
On day 2, the patient became conscious, headache and vision improved. One week later, symptoms and signs disappeared, blood pressure returned to normal, and brain MRI lesions disappeared in re-examination. LESSONS Eclampsia associated with PRES is reversible in most cases, but it is a serious and potentially life-threatening obstetric emergency. If adequate treatment is provided in a timely manner, most women will make a full recovery. Attention needs to be paid to timely and adequate treatment, as well as appropriate follow-up and support for patients with PRES.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Puerperal Disorders
/
Brain Diseases
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Eclampsia
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Posterior Leukoencephalopathy Syndrome
Limits:
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Medicine (Baltimore)
Year:
2023
Document type:
Article
Affiliation country:
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
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UNITED STATES OF AMERICA
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US
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USA