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A Rare Case of Reversible Encephalopathy Syndrome Accompanying Late Postpartum Eclampsia or Hypertensive Encephalopathy-A Clinical Dilemma

Shakuntala, PN and Isaac, P and Rashmi, N and Appaiah, N and Thomas, M (2012) A Rare Case of Reversible Encephalopathy Syndrome Accompanying Late Postpartum Eclampsia or Hypertensive Encephalopathy-A Clinical Dilemma. [Journal (On-line/Unpaginated)]

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Abstract

Posterior Reversible Encephalopathy Syndrome (PRES) refers to a clinic-radiologic diagnosis. Clinically it is characterized by non specific symptoms such as headache, confusion, visual disturbances and seizures. The radiological findings in PRES are thought to be due to vasogenic oedema, predominantly in the posterior cerebral hemispheres, and are reversible with appropriate management. We report a case of reversible encephalopathy diagnosed by MRI scan occurring in atypical areas like the caudate and lentiform nuclei of the brain following an uneventful lower segment caesarean section in a normotensive patient, who was successfully treated with antihypertensives, anticonvulsants and supportive treatment. The differential diagnosis of convulsions in the post-partum period is discussed.

Item Type:Journal (On-line/Unpaginated)
Keywords:PRES; Vasogenic edema; Postpartum; Normotensive.
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:8885
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:04 May 2013 23:05
Last Modified:04 May 2013 23:05

References in Article

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1. Prout RE, Tuckey JP, Giffen NJ. Reversible posterior leucoencephalopathy syndrome in a peripartum patient. International Journal of Obstetric Anesthesia.2007;16:74-76

2. Krishnamoorthy U, Sarkar PK, Nakhuda Y, Mullins PD. Posterior reversible encephalopathy syndrome (PRES) in pregnancy: A diagnostic challenge to obstetricians. Journal of Obstetrics and Gynaecology. April 2009;29(3):192-194.

3. McKinney AM, Short J, Truwit CL, McKinney ZJ, Kozak OS, SantaCruz KS, Teksam M. Posterior Reversible Encephalopathy Syndrome: Incidence of Atypical Regions of I nvolvement and Imaging Findings. AJR. 2007;189:904-912.

4. Servillo G, Striano P, Striano S, Tortora F, Boccella P, De Robertis E, Rossano F, Briganti F, Tufano R. Posterior reversible encephalopathy syndrome (PRES) in critically ill obstetric patients. Intensive Care Med. Dec 2003;29(12):2323-2326.

5. Jamie MN, Shervin E. Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome. Hospital Physician. June 2007;45–49.

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