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Volume 166 - Anno 2015 - Numero 2

Posterior Reversible Encephalopathy Syndrome in late postpartum eclampsia

doi: 10.7417/CT.2015.1818

di M. Pezzi, E. Le Piane, A.M. Giglio, L. Pagnotta, A. Scozzafava, V. Tortorella, A. Sergi, M. Verre

Abstract

Posterior Reversible Encephalopathy Syndrome (PRES) is a neurological complication associated with several medical conditions and it has been described in clinical findings of seizures, headache, vomiting, altered mental status, and visual changes and focal neurologic deficit, in conjunction with radiological findings of primarily posterior cerebral white matter edema of both cerebral hemispheres. PRES can develop in a wide array situations including pregnancy and postpartum in patients with or without symptoms and signs of eclampsia. A prompt diagnosis of PRES by magnetic resonance imaging and an immediate antihypertensive and anticonvulsant therapy can help to prevent serious complications. The clinical case presented deals with a 35 year-old pregnant woman whose history of eclampsia  was observed after a cesarean section


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