Posterior Reversible Encephalopathy Syndrome Postpartum – A Case Report
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Posterior reversible encephalopathy syndrome (PRES) was first described in 1996 by Hinchey et al1 as a clinical syndrome characterized by confusion or decreased level of consciousness, lethargy, nausea, headache, visual changes, and seizures. The pathogenesis of PRES is still unclear.2 The obstetric causes of PRES include preeclampsia, eclampsia and HELLP syndrome.3 Sepsis, use of immunosuppressive drugs, history of renal and autoimmune diseases, HIV syndrome, acute intermittent porphyria, organ transplantation and hypertensive encephalopathy are among the other causes of PRES.4 Early diagnosis and proper treatment results in complete recovery without any permanent neurological sequelae and may decrease mortality and morbidity.1We report a case of a 21 year old P1L1 patient who is postoperative day six of emergency LSCS presented with generalized clonic tonic seizures and high blood pressure . A number of clinical scenarios can present with similar symptomatology, which poses a great challenge. Here we report a case which on evaluation turned out as posterior reversible encephalopathy syndrome (PRES) in the postpartum period.
Authors and Affiliations
Dr. M. Kaavya, Dr. K. Saraswathi
Keywords
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