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When a pregnancy required a neurological consultation: a case report
M Ferraldeschi1, F Tari Capone, F Di Lisi
1Stroke Unit, Sant'Andrea Hospital, II Faculty of Medicine, Sapienza University of Rome, Italy.
La Clinica Terapeutica
|January 12, 2013
Summary
Posterior reversible encephalopathy syndrome (PRES) is a reversible condition in pregnant patients, often linked to eclampsia. Early recognition and treatment of hypertension and seizures are crucial to prevent permanent brain damage.
Area of Science:
- Neurology
- Obstetrics
- Radiology
Background:
- Posterior reversible encephalopathy syndrome (PRES) is a neurological condition characterized by hypertension, seizures, and altered mental status.
- PRES is frequently observed in obstetric patients with pre-eclampsia or eclampsia.
- Characteristic imaging findings on CT or MRI scans aid in PRES diagnosis.
Observation:
- This case report details a pregnant patient experiencing eclampsia with recurrent seizures and hypertension, complicated by PRES.
- The patient presented with symptoms consistent with PRES, including neurological deficits and elevated blood pressure.
Findings:
- The patient's condition, PRES, was diagnosed based on clinical presentation and characteristic neuroimaging findings.
- The PRES was associated with severe hypertension and recurrent seizures, typical of eclamptic complications.
Implications:
- Prompt identification and management of hypertension and seizures are vital in PRES cases.
- While PRES is typically reversible, delayed treatment can result in ischemic brain injury and irreversible neurological damage.
- This case underscores the importance of timely intervention for PRES in obstetric patients to ensure favorable outcomes.
