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CASE REPORT
Posterior reversible encephalopathy syndrome as a complication of pre-eclampsia in the early postpartum period
  1. Julie Verhaegen1,2,
  2. Frederik Peeters2,
  3. Patrick Debois2 and
  4. Yves Jacquemyn1
  1. 1 Department of Obstetrics and Gynaecology, Universitair Ziekenhuis Antwerpen, Edegem, Belgium
  2. 2 Department of Obstetrics and Gynaecology, Algemeen Ziekenhuis Klina, Brasschaat, Belgium
  1. Correspondence to Professor Yves Jacquemyn, yves.jacquemyn{at}uza.be

Abstract

We present the case of a 30-year-old woman with posterior reversible encephalopathy syndrome (PRES) as a complication of pre-eclampsia in the early postpartum period. PRES is a rare neurological disorder which causes non-specific neurological symptoms such as headache, seizures and visual disturbances. It generally has a good prognosis, but severe complications can arise. Therefore, early recognition and treatment are paramount. Pre-eclampsia is a multiorgan disease and is associated with both maternal and foetal morbidity and mortality. Neurological symptoms occurring in the postpartum period indicate pre-eclampsia until proven otherwise. This case report was written to stress the attention on this rare complication of pre-eclampsia. When a patient in the postpartum period presents with a combination of seizures, disturbed vision and headache, PRES should always be kept in mind.

  • obstetrics and gynaecology
  • pregnancy
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Footnotes

  • Contributors For this manuscript, literature search was done by JV, FP and PD. This manuscript was written by JV and FP. The final manuscript was approved by YJ and PD. FP and PD took care of the follow-up of this patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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