Posterior reversible encephalopathy syndrome (PRES) in a 29 weeks pregnancy: A case report
Keywords:
Posterior Reversible Encephalopathy Syndrome, pre eclampsia, eclampsia, peripartum periodAbstract
Posterior Reversible Encephalopathy Syndrome also known as PRES is combination of acute neurologic clinical manifestation including alteration in consciousness, seizure, headache, visual abnormalities, nausea/vomiting and focal neurological signs associated with neuroimaging findings consistent with PRES. Focal neurological signs consist of symptoms or signs due to damage or the dysfunction of a specific anatomic site in the central nervous system. PRES, has diverse etiology, common precipitants are considered acute elevations of blood pressure, renal decompensation, fluid retention, and treatment with immunosuppressive drugs. Its clinical presentation has wide variation. Its reversibility depends on the timing of diagnosis and management. In this case report we present a case of a 37 year old primi gravida with 29 weeks 3 days gestation who suffered with severe pre eclampsia rapidly progressing to eclampsia and further complicated with PRES in peripartum period , she was well managed with quick diagnosis and management.
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