Management of a case of posterior reversible encephalopathy syndrome in antepartum period

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic state coupled with a unique CT or MRI imaging appearance. It is recognized in the setting of a number of complex conditions like pre-eclampsia/ eclampsia, allogenic bone marrow transplantation, organ transplantation, autoimmune disease and high dose chemotherapy. It’s a clinical radiological entity characterized by headaches, confusion, visual disturbances, seizures and posterior transient changes on neuroimaging. We present a case with the complaint of acute onset of convulsions in the antepartum period. Patient was brought to the hospital in unconscious state, with GCS E2V2M4. On auscultation FHS was not detected and on Doppler USG, IUD was confirmed. Immediately patient was taken for LSCS under general anaesthesia with antiepileptic measure. Postoperatively patient was shifted to ICU for further management. Key Word: Encephalopathy, hypertension, convulsions, eclampsia *Address for Correspondence: Dr. Vidya Tharu K, Vidya Tharu K, D/O Dr. K.V. Rao, 104, Ayaachi Apartments, Sector45, Gurgaon, Haryana 122002, INDIA. Email: vidyatharu93@gmail.com Received Date: 11/06/2019 Revised Date: 02/07/2019 Accepted Date: 14/08/2019 DOI: https://doi.org/10.26611/1015111217