Open AccessMANAGEMENT OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME IN AN UNBOOKED TERM PREGNANT CASE WITH ECLAMPSIA.
Author(s) -
Sunny Aggarwal,
Priyanka Dev,
Sagar Mazumder
Publication year - 2020
Publication title -
international journal of scientific research
Language(s) - English
DOI - 10.36106/ijsr/1034756
Subject(s) - posterior reversible encephalopathy syndrome , eclampsia , medicine , cortical blindness , confusion , white matter , hypertensive encephalopathy , anesthesia , caesarean section , pregnancy , pediatrics , blood pressure , blindness , magnetic resonance imaging , radiology , psychology , biology , optometry , psychoanalysis , genetics
Posterior reversible encephalopathy syndrome (PRES) usually presents with headache, confusion, visual disturbances or blindness and seizures. MRI is gold standard with parieto-occipital white matter changes due to vasogenic oedema in most of the cases. We report a 20-year-old unbooked primigravida with eclampsia prior to delivery which got complicated by PRES after delivery on day 1 postpartum. General anesthesia was given for caesarean section and post operatively patient was managed in ICU with strict blood pressure and seizure control. Clinical improvement with complete resolution without any complications was observed on the day 10 postpartum.