Postpartum Posterior Reversible Encephalopathy Syndrome (PRES): Three Case Reports and Literature Review

Marcoccia, Eleonora; Piccioni, Maria Grazia; Schiavi, Michele Carlo; Colagiovanni, Vanessa; Zannini, Ilaria; Musella, Angela; Visentin, Virginia Sibilla; Vena, Flaminia; Masselli, Gabriele; Monti, Marco; Perrone, Giuseppina; Panici, Pierluigi Benedetti; Brunelli, Roberto

doi:10.1155/2019/9527632

Cited by 14 publications

(15 citation statements)

References 56 publications

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“…These should require a complete ophthalmologic examination, visual field monitoring, and OCT in selected cases, often difficult to execute in the early stages of hospitalization. As in our case, the visual complaints from PRES usually present complete recovery, and only a few cases show a protracted course without full resolution [3,5].…”

Section: Discussionsupporting

confidence: 72%

“…The use of i.v. mannitol, already described in PRES [3,4], together with other anti-edema agents, has a rationale for seeking a rapid improvement of vasogenic edema.…”

Section: Discussionmentioning

confidence: 99%

“…PRES can have a wide spectrum of clinical presentations ranging from a mild headache and confusion to generalized tonic-clonic seizures and bilateral loss of vision that could be related to the extension of edema [3,5].…”

Section: Discussionmentioning

confidence: 99%

“…PRES should always be considered in women with acute hypertension disorders associated with epileptic seizures or other neurological symptoms during pregnancy and in the postpartum. The characteristic of the imaging pattern is characterized by the presence of edema involving the white matter of the posterior portions of both cerebral hemispheres, especially the parieto-occipital regions [3].…”

Section: Introductionmentioning

confidence: 99%

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Extensive Posterior Reversible Encephalopathy Syndrome in Late-Onset Eclampsia: a Case Report

Sinisi

Tessa³

2020

SN Compr. Clin. Med.

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The posterior reversible encephalopathy syndrome (PRES) is characterized by several neurological signs and symptoms from different pathological causes. The interpretation of magnetic resonance imaging (MRI) is crucial in atypical presentations, to avoid a misdiagnosis and delays in treatment, as in the identification of complicating factors. Differentiating reversible vasogenic edema from cytotoxic edema is possible with diffusion-weighted images (DWI) and apparent diffusion coefficient (ADC) mapping. We present a case of puerperal extensive PRES related to late-onset eclampsia, in a 36-year-old first-time pregnant woman with no previous history of hypertension or other risk factors, associated with a severe clinical picture but with a full recovery in few weeks. We conclude that the prognosis of puerperal PRES should be good, if underlying etiology can be treated satisfactorily, in extensive MRI involvement too.

show abstract

Section: Discussionsupporting

confidence: 72%

“…The use of i.v. mannitol, already described in PRES [3,4], together with other anti-edema agents, has a rationale for seeking a rapid improvement of vasogenic edema.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Extensive Posterior Reversible Encephalopathy Syndrome in Late-Onset Eclampsia: a Case Report

Sinisi

Tessa³

2020

SN Compr. Clin. Med.

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“…11 In order to identify symptoms of cytotoxic oedema, which is a symptom of the progression of the disease, PRES clinicians should be aware of MRI findings in a suspected case. 12 In order to begin treatment and prevent death, a timely diagnosis is necessary.…”

Section: Discussionmentioning

confidence: 99%

Posterior reversible encephalopathy syndrome (PRES) presenting as Status Epilepticus in a case of Autoimmune Hemolytic Anemia (AIHA): A Case report

et al. 2021

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Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic state, caused by imbalance in autoregulation of posterior cerebral circulation. We report a case of young female, presented at emergency department with complains of nausea, vomiting and generalized tonic clonic seizures prior to admission. During the course of hospital stay patient landed in status epilepticus which was treated appropriately. Patient’s magnetic resonance imaging (MRI) was done which had classical features of vasogenic edema in occipital and parietal region, suggestive of PRES. She was a known case of autoimmune hemolytic anemia thatwas treated with multiple blood transfusions and low dose oral steroids. She was discharged after complete resolution of symptoms with the advice to follow up in medicine outpatient department. Our case describes about autoimmune hemolytic anemia in which occurrence of PRES is uncommon. Early diagnosis and robust treatment can prevent permanent damage to the brain, and is often associated with complete recovery.

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Posterior Reversible Encephalopathy Syndrome in Women with Eclampsia—Report of Three Cases

Konar

Agarwal²,

Priyanka³

et al. 2021

J Obstet Gynecol India

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Postpartum Posterior Reversible Encephalopathy Syndrome (PRES): Three Case Reports and Literature Review

Cited by 14 publications

References 56 publications

Extensive Posterior Reversible Encephalopathy Syndrome in Late-Onset Eclampsia: a Case Report

Extensive Posterior Reversible Encephalopathy Syndrome in Late-Onset Eclampsia: a Case Report

Posterior reversible encephalopathy syndrome (PRES) presenting as Status Epilepticus in a case of Autoimmune Hemolytic Anemia (AIHA): A Case report

Posterior Reversible Encephalopathy Syndrome in Women with Eclampsia—Report of Three Cases

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