Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management
Posterior reversible encephalopathy syndrome (PRES) is a rare neuroradiological condition causing headaches, altered mental status, seizures, visual disturbances, and focal deficits. It is often associated with preeclampsia and eclampsia in pregnancy, but can also occur in patients with other medica...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323007045 |
| _version_ | 1797653634192769024 |
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| author | Shailendra Katwal, MD Aastha Ghimire, MBBS Amrit Bhusal, MBBS Abhisek Bajracharya, MBBS |
| author_facet | Shailendra Katwal, MD Aastha Ghimire, MBBS Amrit Bhusal, MBBS Abhisek Bajracharya, MBBS |
| author_sort | Shailendra Katwal, MD |
| collection | DOAJ |
| description | Posterior reversible encephalopathy syndrome (PRES) is a rare neuroradiological condition causing headaches, altered mental status, seizures, visual disturbances, and focal deficits. It is often associated with preeclampsia and eclampsia in pregnancy, but can also occur in patients with other medical conditions, such as hypertension, autoimmune diseases, renal dysfunction etc. This case report highlights the importance of recognizing PRES in postpartum patients with hypertension and the need for prompt diagnosis and management to prevent potential complications. A 30-year-old woman with gestational hypertension underwent scheduled induction of labor. After a successful delivery, she experienced a sudden headache but no other neurological symptoms. Imaging showed bilateral frontoparietal white matter edema, consistent with PRES. She was closely monitored, treated with analgesics, and improved within a week. The case highlights the rarity of PRES in postpartum patients without preeclampsia or eclampsia. It underscores the importance of considering PRES as a possible diagnosis in postpartum patients with hypertension, even in the absence of typical risk factors. Prompt control of blood pressure and careful monitoring are essential to ensure a positive outcome, as PRES can lead to life-threatening complications if not managed appropriately. The study highlights the importance of heightened awareness of PRES in postpartum patients with gestational hypertension. Early detection and timely management can improve prognosis, even in atypical cases. Healthcare professionals should be vigilant in assessing hypertension patients to diagnose and manage PRES, preventing neurological sequelae. Further research is needed to better understand PRES pathophysiology and risk factors in postpartum patients. |
| first_indexed | 2024-03-11T16:47:24Z |
| format | Article |
| id | doaj.art-9db5c5d38b524d0686e11a3a5cb9bb64 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T16:47:24Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-9db5c5d38b524d0686e11a3a5cb9bb642023-10-22T04:48:54ZengElsevierRadiology Case Reports1930-04332023-12-01181245644568Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and managementShailendra Katwal, MD0Aastha Ghimire, MBBS1Amrit Bhusal, MBBS2Abhisek Bajracharya, MBBS3Department of Radiology, Dadeldhura Subregional Hospital, Dadeldhura, NepalOxford University Clinical Research Unit, Patan Academy of Health Sciences, Lalitpur, Nepal; Corresponding author.BP Koirala Institute of Health Sciences, Dharan, Koshi Province, NepalNepal Medical College, Kathmandu, Bagmati, NepalPosterior reversible encephalopathy syndrome (PRES) is a rare neuroradiological condition causing headaches, altered mental status, seizures, visual disturbances, and focal deficits. It is often associated with preeclampsia and eclampsia in pregnancy, but can also occur in patients with other medical conditions, such as hypertension, autoimmune diseases, renal dysfunction etc. This case report highlights the importance of recognizing PRES in postpartum patients with hypertension and the need for prompt diagnosis and management to prevent potential complications. A 30-year-old woman with gestational hypertension underwent scheduled induction of labor. After a successful delivery, she experienced a sudden headache but no other neurological symptoms. Imaging showed bilateral frontoparietal white matter edema, consistent with PRES. She was closely monitored, treated with analgesics, and improved within a week. The case highlights the rarity of PRES in postpartum patients without preeclampsia or eclampsia. It underscores the importance of considering PRES as a possible diagnosis in postpartum patients with hypertension, even in the absence of typical risk factors. Prompt control of blood pressure and careful monitoring are essential to ensure a positive outcome, as PRES can lead to life-threatening complications if not managed appropriately. The study highlights the importance of heightened awareness of PRES in postpartum patients with gestational hypertension. Early detection and timely management can improve prognosis, even in atypical cases. Healthcare professionals should be vigilant in assessing hypertension patients to diagnose and manage PRES, preventing neurological sequelae. Further research is needed to better understand PRES pathophysiology and risk factors in postpartum patients.http://www.sciencedirect.com/science/article/pii/S1930043323007045Posterior reversible encephalopathy syndromePostpartumWhite matter edemaHeadacheCase report |
| spellingShingle | Shailendra Katwal, MD Aastha Ghimire, MBBS Amrit Bhusal, MBBS Abhisek Bajracharya, MBBS Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management Radiology Case Reports Posterior reversible encephalopathy syndrome Postpartum White matter edema Headache Case report |
| title | Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management |
| title_full | Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management |
| title_fullStr | Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management |
| title_full_unstemmed | Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management |
| title_short | Posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension: A case report emphasizing early recognition and management |
| title_sort | posterior reversible encephalopathy syndrome in postpartum patients with gestational hypertension a case report emphasizing early recognition and management |
| topic | Posterior reversible encephalopathy syndrome Postpartum White matter edema Headache Case report |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323007045 |
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