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Quant Imaging Med Surg. 2015 Dec;5(6):909-16. doi: 10.3978/j.issn.2223-4292.2015.12.04.

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

Quantitative imaging in medicine and surgery

Lihong Zhang, Yacong Wang, Liang Shi, Jianhui Cao, Zhenzhong Li, Yì-Xiáng J Wáng

Affiliations

  1. 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.

PMID: 26807372 PMCID: PMC4700241 DOI: 10.3978/j.issn.2223-4292.2015.12.04

Abstract

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.

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

References

  1. AJNR Am J Neuroradiol. 2000 Aug;21(7):1199-206 - PubMed
  2. Intensive Care Med. 2007 Feb;33(2):230-6 - PubMed
  3. Am J Obstet Gynecol. 2004 May;190(5):1464-6 - PubMed
  4. Arch Ophthalmol. 2004 Dec;122(12):1885-7 - PubMed
  5. Stroke. 1997 May;28(5):1082-5 - PubMed
  6. AJNR Am J Neuroradiol. 2001 Jun-Jul;22(6):1068-70 - PubMed
  7. Obstet Gynecol. 2000 Jun;95(6 Pt 2):1017-9 - PubMed
  8. J Am Acad Nurse Pract. 2008 Feb;20(2):100-6 - PubMed
  9. Quant Imaging Med Surg. 2012 Dec;2(4):254-65 - PubMed
  10. Intensive Care Med. 2003 Dec;29(12 ):2323-6 - PubMed
  11. Placenta. 2003 Apr;24 Suppl A:S21-7 - PubMed
  12. AJNR Am J Neuroradiol. 2008 Jun;29(6):1043-9 - PubMed
  13. Best Pract Res Clin Obstet Gynaecol. 2011 Aug;25(4):391-403 - PubMed
  14. Diagn Interv Radiol. 2007 Sep;13(3):125-8 - PubMed
  15. Anesthesiology. 2003 Jan;98(1):261-3 - PubMed
  16. Intern Med J. 2005 Feb;35(2):83-90 - PubMed
  17. J Matern Fetal Med. 1996 Jul-Aug;5(4):194-200 - PubMed
  18. J Obstet Gynaecol. 2012 Apr;32(3):264-6 - PubMed
  19. AJR Am J Roentgenol. 2007 Oct;189(4):904-12 - PubMed
  20. Brain Res. 1976 Oct 22;115(3):377-93 - PubMed
  21. J Stroke Cerebrovasc Dis. 2012 Nov;21(8):873-82 - PubMed
  22. Nat Clin Pract Nephrol. 2005 Dec;1(2):98-114; quiz 120 - PubMed
  23. Eur J Neurol. 2012 Jul;19(7):935-43 - PubMed
  24. Eur Neurol. 1996;36(1):25-8 - PubMed
  25. Med Sci Monit. 2005 Nov;11(11):CR549-53 - PubMed
  26. Am J Obstet Gynecol. 2009 May;200(5):481.e1-7 - PubMed
  27. J Emerg Med. 2003 Nov;25(4):387-90 - PubMed
  28. Cerebrovasc Dis. 2004;18(4):290-5 - PubMed
  29. Pediatr Neurol. 2001 May;24(5):361-4 - PubMed
  30. Quant Imaging Med Surg. 2011 Dec;1(1):1-3 - PubMed
  31. AJNR Am J Neuroradiol. 2008 Mar;29(3):447-55 - PubMed
  32. Radiology. 2000 Nov;217(2):371-6 - PubMed
  33. Curr Opin Ophthalmol. 2008 Nov;19(6):479-84 - PubMed
  34. J Neuroimaging. 2004 Apr;14(2):89-96 - PubMed
  35. Ultrasound Obstet Gynecol. 2003 May;21(5):507-13 - PubMed
  36. AJNR Am J Neuroradiol. 2005 Apr;26(4):825-30 - PubMed
  37. N Engl J Med. 1996 Feb 22;334(8):494-500 - PubMed
  38. Am J Obstet Gynecol. 2013 Jun;208(6):468.e1-6 - PubMed
  39. Case Rep Emerg Med. 2013;2013:680327 - PubMed
  40. Acta Neurol Taiwan. 2007 Sep;16(3):158-62 - PubMed
  41. Lancet. 2000 Jul 29;356(9227):411-7 - PubMed
  42. AJR Am J Roentgenol. 1999 Feb;172(2):537-9 - PubMed
  43. Lancet. 2005 Feb 26-Mar 4;365(9461):785-99 - PubMed
  44. AJNR Am J Neuroradiol. 2008 Jun;29(6):1036-42 - PubMed
  45. Kaohsiung J Med Sci. 2004 Aug;20(8):381-8 - PubMed
  46. Am J Obstet Gynecol. 2002 Jun;186(6):1174-7 - PubMed
  47. Br J Radiol. 2012 Dec;85(1020):1566-75 - PubMed
  48. J Intensive Care Med. 2012 Feb;27(1):11-24 - PubMed
  49. J Obstet Gynaecol. 2010;30(7):730-2 - PubMed
  50. AJNR Am J Neuroradiol. 2007 Aug;28(7):1320-7 - PubMed

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