Posterior Reversible Encephalopathy Syndrome During Term Pregnancy- Case Report

  • Dinesh Kumar Thapa Department of Neurosurgery B&C Medical College Teaching Hospital, Birtamod, Jhapa
  • Sunil Kumar Shah Department of Obstetrics and Gynecology, B&C Medical College Teaching Hospital, Birtamode, Jhapa
  • Raju Shrestha Department of Anesthesia, B&C Medical College Teaching Hospital, Birtamode, Jhapa;
  • Niraj Keyal Department of Critical Care Medicine, B&C Medical College Teaching Hospital, Birtamode, Jhapa
  • Suraj Thapaliya Department of Radiodiagnosis, B&C Medical College Teaching Hospital, Birtamode, Jhapa
Keywords: Hypertensive Encephalopathy, Pregnancy, Posterior reversible encephalopathy syndrome, Seizure

Abstract

 Posterior reversible encephalopathy syndrome (PRES) or reversible posterior leukoencephalopathy syndrome (RPLS) is a rare clinic-neuro-radiologically diagnosed disease in pregnant women. Other clinical conditions causing PRES include hypertensive encephalopathy, renal failure, autoimmune disorders and treatment with immunosuppressant or cytotoxic medications. Uncommon clinical conditions include acute intermittent porphyria and cryoglobulinemia. This syndrome is also known as reversible posterior cerebral oedema syndrome or posterior leukoencephalopathy syndrome. Clinical features include headache, encephalopathy, seizures, cortical visual disturbances or blindness and parieto-occipital white matter changes on neuroimaging. We report a 21-year-old primigravida who presented to us at term pregnancy with seizures, altered sensorium, and hypertension, which was later diagnosed to be PRES and was successfully managed.

Downloads

Download data is not yet available.
Abstract
266
pdf
104
Published
2020-01-31
How to Cite
Thapa, D., Shah, S., Shrestha, R., Keyal, N., & Thapaliya, S. (2020). Posterior Reversible Encephalopathy Syndrome During Term Pregnancy- Case Report. Eastern Green Neurosurgery, 2(1), 56-58. Retrieved from https://www.nepjol.info/index.php/egn/article/view/27470
Section
Case Reports