Sevim Özden1*, Christina Lindegaard Poulsen2 and Mohammed R Khalil2
1Department of Anesthesiology, Sygehus Lillebaelt, Kolding, Denmark
2Department of Obstetrics and Gynaecology, Sygehus Lillebaelt, Kolding, Denmark
*Corresponding Author: Sevim Özden, Department of Anesthesiology, Sygehus Lillebaelt, Kolding, Denmark.
Received: October 22, 2020; Published: December 08, 2020
Posterior reversible encephalopathy syndrome (PRES) is a neuroradiologic condition characterized by a range of symptoms such as headache, nausea, vomiting, blurred vision, altered consciousness, seizures, and focal neurological symptoms. It can be associated with HELLP syndrome. In this case report, we present 29 years old primigravida at 36+6 weeks’ gestation with HELLP syndrome and severe preeclampsia with loss of vision on both eyes. The patient was further examined with a CT brain scan, which initially indicated that she had posterior reversible encephalopathy syndrome (PRES). Neuro radiologist provided a second interpretation of the CT brain scan with no sign of PRES. However, the clinical presentation indicated signs of PRES and the patient got treatment with antihypertensive and Magnesium Sulphate at the intensive care unit and had uneventful caesarean section performed. This case report emphasizes the importance of early recognition, correct treatment, and management to prevent further complications.
Keywords: Hypertension; Pre-eklampsia; HELLP; Pregnancy; PRES; Loss of Vision
Citation: Sevim Özden., et al. “Posterior Reversible Encephalopathy Syndrome in Primigravida with Severe Pre-eclampsia and Hellp". Acta Scientific Medical Sciences 5.1 (2021): 14-16.
Copyright: © 2021 Sevim Özden., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.