Atypical case of posterior reversible encephalopathy syndrome related to late onset postpartum eclampsia

Autor:	Masai, Kaori, Ueda, Yayoi, Naito, Hiromichi, Tsukahara, Kohei, Aokage, Toshiyuki, Fujisaki, Noritomo, Yamamoto, Hirotsugu, Nakao, Atsunori
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	posterior reversible encephalopathy syndrome Puerperal Disorders female genital diseases and pregnancy complications Young Adult Pregnancy postpartum eclampsia Humans Eclampsia Female Clinical Case Report Posterior Leukoencephalopathy Syndrome reproductive and urinary physiology Research Article
Zdroj:	Medicine
ISSN:	1536-5964 0025-7974
Popis:	Rationale: Eclampsia, an obstetric emergency frequently seen in pregnant or puerperal women, is a risk factor for posterior reversible encephalopathy syndrome (PRES). Most cases of eclampsia occur postpartum. We report a woman with PRES associated with eclampsia 10 weeks post-delivery, the latest onset ever reported. Patient concerns: A 23-year-old healthy woman presented headache and nausea 10 weeks after delivery. Two days later, she generalized tonic-clonic seizure. Her brain MRI presented the foci which is typical of PRES. Diagnosis: The patient was diagnosed as PRES associated with eclampsia. Interventions: The patient received levetiracetam and edaravone. Outcomes: Her clinical course was uneventful and she fully recovered without neurological complications Lessons: The possible diagnosis of late onset postpartum eclampsia, even weeks post-delivery, should be considered, since initiation of early treatment averts severe complications and decreases mortality. Sharing our experience may increase awareness of PRES induced by late-onset postpartum eclampsia.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::6f80c12159929bfd50285d5dc33cd3d6 http://europepmc.org/articles/PMC6494391 Zobrazit plný text záznamu