Late onset postpartum eclampsia complicated with posterior reversible encephalopathy syndrome

Anaesthesia, Pain & Intensive Care

ARTICLE

EjazKhan¹  Rovnat Babazade² 

[1] Department of Anesthesiology, the University of Texas Medical Branch at Galveston;Department of Anesthesiology, The University of Texas Medical Branch at Galveston, Texas and Outcomes Research Consortium, Cleveland Clinic

关键词: Acute kidney injury;    Late postpartum eclampsia;    Posterior reversible encephalopathy syndrome;    PRES;    Renal replacement therapy;   

DOI  :  10.35975/apic.v24i2.1261

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

Posterior reversible encephalopathy syndrome (PRES) is a rare entity characterized by headache, vomiting, visual disturbances, seizure and unconsciousness with characteristic magnetic resonance imaging. Late onset postpartum eclampsia complicated by PRES has been reported in the literature, We report a unique case of 23-year-old patient who developed late onset postpartum eclampsia complicated by PRES and acute kidney injury requiring renal replacement therapy. The case report emphasizes the need to continue antihypertensive medication in hypertensive parturients during postpartum period for at least 6 weeks as frequency of late postpartum eclampsia is high. The medication should be tapered off slowly to avoid reactive hypertensive episode which might trigger PRES and acute kidney injury.

【 授权许可】

CC BY-NC