Posterior Reversible Encephalopathy Syndrome in Primigravida with Severe Pre-eclampsia and Hellp

Sevim Özden*, Christina Lindegaard Poulsen, Mohammed R Khalil

*Corresponding author for this work

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Abstract

Posterior reversible encephalopathy syndrome (PRES) is a neuroradiologic condition characterized by a range of symptoms such as headache, nausea, vomiting, blurred vision, altered consciousness, seizures, and focal neurological symptoms. It can be associated with HELLP syndrome. In this case report, we present 29 years old primigravida at 36+6 weeks’ gestation with HELLP syndrome and severe preeclampsia with loss of vision on both eyes. The patient was further examined with a CT brain scan, which initially indicated that she had posterior reversible encephalopathy syndrome (PRES). Neuro radiologist provided a second interpretation of the CT brain scan with no sign of PRES. However, the clinical presentation indicated signs of PRES and the patient got treatment with antihypertensive and Magnesium Sulphate at the intensive care unit and had uneventful caesarean section performed. This case report emphasizes the importance of early recognition, correct treatment, and management to prevent further complications.
Original languageEnglish
JournalActa Scientific Medical Sciences
Volume5
Issue number1
Pages (from-to)14.16
ISSN2582-0931
Publication statusPublished - Jan 2021

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