Posterior Reversible Encephalopathy Syndrome in Women with Eclampsia—Report of Three Cases

Excerpt

Posterior reversible encephalopathy syndrome (PRES) is a distinctive clinical and radiological syndrome recognized in a number of conditions such as preeclampsia, eclampsia, severely high blood pressure, renal failure and autoimmune disease like systemic lupus erythematosus, with the treatment of immunosuppressive agents or high dose chemotherapy. The clinical presentation of this syndrome is characterized by symptoms of headache, nausea, vomiting, seizures, altered consciousness and visual disturbances. The radiological findings on magnetic resonance imaging (MRI) or computed tomography (CT) are characterized by symmetrical white matter abnormalities suggestive of edema predominantly in the posterior parietal–occipital regions of the cerebral hemispheres. We present three cases of PRES in eclamptic women, with particular attention to the obstetric management. …