Posterior reversible encephalopathy syndrome in pregnancy: A case report with review literature

Posterior reversible encephalopathy (PRES) is an uncommon condition that causes edema in the white matter of the posterior fossa of the brain along with headache, altered consciousness, visual impairment, and occasionally seizures. The diagnosis and course of treatment for a PRES case involving a patient who was 24 weeks pregnant are discussed in this article along with relevant literature.A 21-year-old patient who was 24 weeks pregnant suddenly lost her vision, had high blood pressure, hemolysis, raised liver enzymes, low platelet count, and an emergency cesarean section was used to deliver the baby. Magnetic resonance imaging (MRI) in the early postoperative phase showed vasogenic edema in the occipito-parietal region's white matter. In addition to antihypertensive drugs and cortisol, the patient received intravenous (IV) hydration treatment. She was discharged on the 10th postoperative day with his complaints and laboratory values within normal limits. In the existence of neurological symptoms in PRES disease, strong suspicion, and brain imaging are required for early diagnosis. Treatment is available before a lasting neurological disability arises with an early diagnosis.

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DergiPark (Istanbul University)
Published
2025-01-22
Primary Topic
Neurological Complications and Syndromes
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article
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article

Posterior reversible encephalopathy syndrome in pregnancy: A case report with review literature

Emel Kıyak Çağlayan
DergiPark (Istanbul University)
Neurological Complications and Syndromes
article

Posterior reversible encephalopathy syndrome in pregnancy: A case report with review literature

Emel Kıyak Çağlayan
article en

Abstract

Posterior reversible encephalopathy (PRES) is an uncommon condition that causes edema in the white matter of the posterior fossa of the brain along with headache, altered consciousness, visual impairment, and occasionally seizures. The diagnosis and course of treatment for a PRES case involving a patient who was 24 weeks pregnant are discussed in this article along with relevant literature.A 21-year-old patient who was 24 weeks pregnant suddenly lost her vision, had high blood pressure, hemolysis, raised liver enzymes, low platelet count, and an emergency cesarean section was used to deliver the baby. Magnetic resonance imaging (MRI) in the early postoperative phase showed vasogenic edema in the occipito-parietal region's white matter. In addition to antihypertensive drugs and cortisol, the patient received intravenous (IV) hydration treatment. She was discharged on the 10th postoperative day with his complaints and laboratory values within normal limits. In the existence of neurological symptoms in PRES disease, strong suspicion, and brain imaging are required for early diagnosis. Treatment is available before a lasting neurological disability arises with an early diagnosis.

DergiPark (Istanbul University)
Tekirdağ Namık Kemal University (TR)
Openalex Percentile: Top 57%
Neurological Complications and Syndromes
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Posterior reversible encephalopathy syndrome in pregnancy: A case report with review literature — Emel Kıyak Çağlayan · DergiPark (Istanbul University) (2025) | TGRS Research Map | TGRS