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Papers of the Week


2019 Jul 16


BMJ Case Rep


12


7

Posterior reversible encephalopathy syndrome as a complication of pre-eclampsia in the early postpartum period.

Authors

Verhaegen J, Peeters F, Debois P, Jacquemyn Y
BMJ Case Rep. 2019 Jul 16; 12(7).
PMID: 31315841.

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.