Sofia Tsiapakidou¹*, Eleftherios Klonos¹, Stella Chondromatidou², Grigoris F Grimbizis¹and Theodoros D Theodoridis¹

¹Professor, 1^st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
²Department of Radiology, Papageorgiou General Hospital, Ring Road-Nea Efkarpia, Thessaloniki, Greece

*Corresponding Author: Sofia Tsiapakidou, Professor, 1^st Department of Obstetrics and Gynecology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Received: December 08, 2022; Published: July 25, 2023

Abstract

Objective: To present a case of posterior reversible encephalopathy syndrome (PRES), a rare neurological disorder that can be presented, in association with preeclampsia, during pregnancy.

Case Report: This is the case of a 31-year-old nullipara at 40 weeks of pregnancy who presented with a sudden loss of consciousness accompanied by convulsions. She was normotensive throughout her pregnancy. An acute intracranial pathology, such as venous thrombosis, stroke, and cerebral hemorrhage was suspected. Neuroimaging revealed a parieto-occipital pattern reflecting vasogenic oedema and in correlation with postpartum seizures, PRES was diagnosed.

Conclusion: There is heterogeneity in how PRES can be presented, especially in the obstetric population, however, we emphasize the importance of early recognition and appropriate management in the obstetric population.

 Keywords: Encephalopathy; Labour; Posterior Reversible Encephalopathy Syndrome; Pregnancy; PRES

References

1. Webster Katie., et al. “Diagnosis and management of hypertension in pregnancy: summary of updated NICE guidance”. BMJ (Clinical Research ed.) 366 (2019): l5119.
2. Parasher Anant and Rajat Jhamb. “Posterior reversible encephalopathy syndrome (PRES): presentation, diagnosis and treatment”. Postgraduate Medical Journal1140 (2020): 623-628.
3. Fugate Jennifer E and Alejandro A Rabinstein. “Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions”. The Lancet Neurology9 (2015): 914-925.
4. Bartynski, W S. “Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features”.  American Journal of Neuroradiology 29.6 (2008): 1036-1042.
5. Bartynski WS. “Posterior reversible encephalopathy syndrome, part 2: controversies surrounding pathophysiology of vasogenic edema”.  American Journal of Neuroradiology 29.6 (2008): 1043-1049.
6. Amaral Lorena M., et al. “Pathophysiology and Current Clinical Management of Preeclampsia”. Current Hypertension Reports8 (2017): 61.
7. Pedraza Rodrigo., et al. "Posterior reversible encephalopathy syndrome: a review". Critical Care Shock4 (2009): 135-143.
8. Nielsen Lise Hald., et al. “Posterior reversible encephalopathy syndrome postpartum”. Clinical Case Reports4 (2015): 266-270.
9. Ekawa Yuka., et al. “Reversible posterior leukoencephalopathy syndrome accompanying eclampsia: correct diagnosis using preoperative MRI”. The Tohoku Journal of Experimental Medicine1 (2012): 55-58.
10. Fischer Marlene and Erich Schmutzhard. “Posterior reversible encephalopathy syndrome”. Journal of Neurology8 (2017): 1608-1616.
11. Postma Ineke R., et al. “Long-term consequences of the posterior reversible encephalopathy syndrome in eclampsia and preeclampsia: a review of the obstetric and nonobstetric literature”. Obstetrical and Gynecological Survey5 (2014): 287-300.

Citation

Citation: Sofia Tsiapakidou., et al. “Posterior Reversible Encephalopathy Syndrome (PRES) in a Normotensive Pregnant Patient into Labour: A Case Report”.Acta Scientific Medical Sciences 7.8 (2023): 187-190.

Copyright

Copyright: © 2023 Sofia Tsiapakidou., 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.