Abstract
RATIONALE: Eclampsia, an obstetric emergency frequently seen in pregnant or puerperal women, is a risk factor for posterior reversible encephalopathy syndrome (PRES). Most cases of eclampsia occur postpartum. We report a woman with PRES associated with eclampsia 10 weeks post-delivery, the latest onset ever reported. PATIENT CONCERNS: A 23-year-old healthy woman presented headache and nausea 10 weeks after delivery. Two days later, she generalized tonic-clonic seizure. Her brain MRI presented the foci which is typical of PRES. DIAGNOSIS: The patient was diagnosed as PRES associated with eclampsia. INTERVENTIONS: The patient received levetiracetam and edaravone. OUTCOMES: Her clinical course was uneventful and she fully recovered without neurological complications LESSONS:: The possible diagnosis of late onset postpartum eclampsia, even weeks post-delivery, should be considered, since initiation of early treatment averts severe complications and decreases mortality. Sharing our experience may increase awareness of PRES induced by late-onset postpartum eclampsia.
| Original language | English |
|---|---|
| Pages (from-to) | e15187 |
| Journal | Medicine |
| Volume | 98 |
| Issue number | 16 |
| DOIs | |
| Publication status | Published - Apr 1 2019 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Atypical case of posterior reversible encephalopathy syndrome related to late onset postpartum eclampsia : A case report. / Masai, Kaori; Ueda, Yayoi; Naito, Hiromichi; Tsukahara, Kohei; Aokage, Toshiyuki; Fujisaki, Noritomo; Yamamoto, Hirotsugu; Nakao, Atsunori.
In: Medicine, Vol. 98, No. 16, 01.04.2019, p. e15187.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Atypical case of posterior reversible encephalopathy syndrome related to late onset postpartum eclampsia
T2 - A case report
AU - Masai, Kaori
AU - Ueda, Yayoi
AU - Naito, Hiromichi
AU - Tsukahara, Kohei
AU - Aokage, Toshiyuki
AU - Fujisaki, Noritomo
AU - Yamamoto, Hirotsugu
AU - Nakao, Atsunori
PY - 2019/4/1
Y1 - 2019/4/1
N2 - RATIONALE: Eclampsia, an obstetric emergency frequently seen in pregnant or puerperal women, is a risk factor for posterior reversible encephalopathy syndrome (PRES). Most cases of eclampsia occur postpartum. We report a woman with PRES associated with eclampsia 10 weeks post-delivery, the latest onset ever reported. PATIENT CONCERNS: A 23-year-old healthy woman presented headache and nausea 10 weeks after delivery. Two days later, she generalized tonic-clonic seizure. Her brain MRI presented the foci which is typical of PRES. DIAGNOSIS: The patient was diagnosed as PRES associated with eclampsia. INTERVENTIONS: The patient received levetiracetam and edaravone. OUTCOMES: Her clinical course was uneventful and she fully recovered without neurological complications LESSONS:: The possible diagnosis of late onset postpartum eclampsia, even weeks post-delivery, should be considered, since initiation of early treatment averts severe complications and decreases mortality. Sharing our experience may increase awareness of PRES induced by late-onset postpartum eclampsia.
AB - RATIONALE: Eclampsia, an obstetric emergency frequently seen in pregnant or puerperal women, is a risk factor for posterior reversible encephalopathy syndrome (PRES). Most cases of eclampsia occur postpartum. We report a woman with PRES associated with eclampsia 10 weeks post-delivery, the latest onset ever reported. PATIENT CONCERNS: A 23-year-old healthy woman presented headache and nausea 10 weeks after delivery. Two days later, she generalized tonic-clonic seizure. Her brain MRI presented the foci which is typical of PRES. DIAGNOSIS: The patient was diagnosed as PRES associated with eclampsia. INTERVENTIONS: The patient received levetiracetam and edaravone. OUTCOMES: Her clinical course was uneventful and she fully recovered without neurological complications LESSONS:: The possible diagnosis of late onset postpartum eclampsia, even weeks post-delivery, should be considered, since initiation of early treatment averts severe complications and decreases mortality. Sharing our experience may increase awareness of PRES induced by late-onset postpartum eclampsia.
UR - http://www.scopus.com/inward/record.url?scp=85065079939&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85065079939&partnerID=8YFLogxK
U2 - 10.1097/MD.0000000000015187
DO - 10.1097/MD.0000000000015187
M3 - Article
C2 - 31008940
AN - SCOPUS:85065079939
VL - 98
SP - e15187
JO - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
JF - Medicine; analytical reviews of general medicine, neurology, psychiatry, dermatology, and pediatries
SN - 0025-7974
IS - 16
ER -