PRES Associated with Eclampsia: A Case Report

  • Tasmina Choudhury Registrar of Medicine , Popular Medical College Hospital, Dhaka
  • Hironmoy Barman Assistant Registrar of Medicine, Popular Medical College Hospital, Dhaka
  • Joysree Saha Assistant Professor of Gynae and Obs. Popular Medical College Hospital
  • Quazi Tarikul Islam Professor and Head , Department of Medicine, Popular Medical College Hospital, Dhaka
Keywords: Posterior reversible encephalopathy syndrome, eclampsia, brain MRI

Abstract

The occurrence of posterior reversible encephalopathy syndrome (PRES) in patients with eclampsia is a rare condition. PRES is a reversible syndrome characterized by headache, seizure, altered mentation and loss of vision associated with white matter changes on imaging. The lesions in PRES are thought to be due to vasogenic oedema, predominantly in the posterior cerebral hemispheres. This study reports a 32-year-old pregnant woman who presented with headache, dimness of vision, right sided weakness and seizure. The MRI of her brain showed abnormal signal intensity in the white matter of the occipital and parietal lobes. She was treated successfully with pregnancy termination, anti-hypertensives, anticonvulsants, and supportive care. It is concluded that early diagnosis is important to prevent permanent neurologic damage and mortality.

Bangladesh J Medicine July 2019; 30(2) : 104-107

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Abstract
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Published
2019-05-27
How to Cite
Choudhury, T., Barman, H., Saha, J., & Islam, Q. (2019). PRES Associated with Eclampsia: A Case Report. Bangladesh Journal of Medicine, 30(2), 104-107. https://doi.org/10.3329/bjmed.v30i2.41539
Section
Case Reports