DOI  10.17613/sb108-yxs22 

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Case Report

Reversible posterior encephalopathy syndrome related to preeclampsia. Case report and revision.

Contreras-Dominguez, Karen Lisbeth¹; Pozos, Pamela²; Velazquez-Palacios, Edgar Ivan¹; Medina-Martinez, Irving Alejandro³.

Correspondence: irvingalejandromm4@gmail.com

¹Department of Emergency Medicine, ISSSTE General Hospital, Celaya, México.
²Department of Obstetric Intensive Care Unit, Maternal Hospital of Celaya, México.
³Department of General Surgery, ISSSTE General Hospital, Querétaro, México.

KEYWORDS: Syndrome, encephalopathy, preeclampsia, reversible, MRI, CT scan.

ABSTRACT: Reversible posterior encephalopathy syndrome (PRES) is an entity characterized by clinical and radiological alterations due to imbalance in the regulation of cerebral blood vessels. The clinical presentation has been very varied. Generalized seizures are often the most common clinical manifestation of PRES, but patients also show signs of encephalopathy such as altered mental state, headache, nausea and vomiting. Visual disorders are also common, ranging from mild blurred vision to cortical amaurosis.

CONFLICTS OF INTERESTS

The authors have no conflict of interest

BIBLIOGRAPHY

1. Fischer M, Schmutzhard E. Síndrome de encefalopatía posterior reversible. J Neurol. 2017;264:1608-1616. Disponible en: https://www.ncbi.nlm.nih. gov/pubmed/28054130. doi: 10.1007/s00415-016-8377-8

2. Morales-Muñoz G, Mercedes-Acuña A, Padilla-Chávez R. Síndrome de encefalopatía posterior reversible en eclampsia en el Hospital Regional de Alta Especialidad de la Mujer de Tabasco, México. Med Crit. 2017;31(2):60-64.

3. Sharma G, Godawari J, Purohit RC. Cranial MR imaging in eclampsia and severe preeclampsia: a prospective study. Best Practice & Research Clinical Obstetrics & Gynaecology. 2012;3(13):3250-3259. URL: https://www.ncbi.nlm.nih.gov/ pubmed/16320222 14. Martin JN Jr, Brewer

4. Wagner SJ, Acquah LA, Lindell EP, Craici IM, Wingo MT, Rose CH, et al. Posterior reversible encephalopathy syndrome and eclampsia: pressing the case for more aggressive blood pressure control. Mayo Clin Proc. 2011;86(9):851-856. URL: https://www. ncbi.nlm.nih.gov/pmc/articles/PMC3258001/

5.     Alvarez-Pabón Y, et al. Síndrome de encefalopatía posterior reversible, eclampsia y síndrome de Hellp. Rev Chil Obstet Ginecol 2017;82:280-92 http://www.revistasochog.cl/files/ pdf/AR_021.pdf

6.     Donado SC, Gómez BA, Castilla MM, Matallana ZD, Campos PM, Pola GM. Encefalopatía posterior reversible en el puerperio inmediato de una paciente con preeclampsia severa. Rev Med Jaen 2014;12:31-4. https://www.juntadeandalucia.es/servicioandaluzdesalud/chjaen/files/ pdf/1396599531.pdf

7. Fisher N, et al. Clinical correlates posterior reversible encephalopathy syndrome in pregnancy. J Clin Hypertens 2016;18:522-7. DOI: 10.1111/jch.12656

8. De la Torre T, Miranda A, Gómez M, Nava J, et al. Encefalopatía posterior reversible durante el puerperio, secundaria a eclampsia. Reporte de dos casos. Ginecol Obstet Mex 2018; 86 (12): 815-22. https://doi.org/10.24245/gom. v86i12.2343

9. Verhaegen J, Peeters F, Debois P, Jacquemyn Y. Posterior reversible encephalopathy syndrome as a complication of pre-eclampsia in the early postpartum period. BMJ Case Rep 2019; 12 (7): e228954. https://doi.org/10.1136/bcr2018-228954

10.  Tetsuka S, Ogawa T. Posterior reversible encephalopathy syndrome: A review with emphasis on neuroimaging characteristics. J Neurol Sci 2019; 404: 72-9. https://doi. org/10.1016/j.jns.2019.07.018