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Atypical case of posterior reversible encephalopathy syndrome related to late onset postpartum eclampsia: A case report.

Abstract：

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.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Masai K,Ueda Y,Naito H,Tsukahara K,Aokage T,Fujisaki N,Yamamoto H,Nakao A

doi

10.1097/MD.0000000000015187

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

e15187

issue

16

eissn

0025-7974

issn

1536-5964

pii

00005792-201904190-00021

journal_volume

98

pub_type

杂志文章

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