Late postpartum eclampsia complicated with posterior reversible encephalopathy syndrome: a case report and a literature review

Quantitative Imaging in Medicine and Surgery

Jianhui Cao³  Lihong Zhang⁵  Zhenzhong Li⁵  Liang Shi¹  Yì-Xiáng J. Wáng⁴  Yacong Wang² 

[1] Department of Radiology,Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China;Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China;;Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, ChinaDepartment of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China;

关键词: Posterior reversible encephalopathy syndrome (PRES);    late postpartum eclampsia;    reversible posterior leukoencephalopathy syndrome (RPLS);    vasogenic edema;    magnetic resonance imaging;   

DOI  :  10.3978/j.issn.2223-4292.2015.12.04

学科分类：外科医学

来源: AME Publications

【 摘 要 】

Posterior reversible encephalopathy syndrome (PRES) is a rare but serious clinical-neuroradiological entity characterized by headache, vomiting, visual disturbances, altered mental status, seizures, and unconsciousness associated with the characteristic imaging findings including sub-cortical vasogenic edema at the bilateral parietal and occipital lobes. We describe a case of 28-year-old PRES patient secondary to delayed maternal postpartum eclampsia. This patient was not initially diagnosed with pre-eclampsia and PRES. The diagnosis was established after magnetic resonance imaging. After treatment this patient’s PRES resolved. Early diagnosis and treatment are the keys to reverse PRES. A literature review for PRES is provided in this report.

【 授权许可】

Unknown