Posterior reversible encephalopathy syndrome secondary to preeclampsia-a case report
Posterior reversible encephalopathy syndrome secondary to preeclampsia-a case report
In this article, we aimed to present a 29 year-old preeclampsia patient with sudden loss of vision in both eyes after cesarean section.In her ophthalmoscopic examination her visual acuity was at the level of light perception on both of eyes. The anterior segmentexamination of the patient was normal with normal eye movement in all directions. The fundus had a tilted disc, which was evidenton the left. Emergency orbital, cranial MRI, carotid Doppler were requested with arterial blood pressure control of the patient. Closefollow-up was recommended. Patient was diagnosed as posterior reversible encephalopathy syndrome with cortical visual loss dueto vasogenic edema according to diffusion MRI result. Patient’s visual acuity was 10/10 on the right side and 16/100 on the left sideafter 3 days with control of arterial blood pressure.
___
- 1. Thadhani R, Ecker JL, Kettyle E, et al. Pulse pressure and
risk of preeclampsia: a prospective study. Obstet Gynecol
2001;97:515-20.
- 2. Sunness JS. The pregnant woman’s eye. Surv Ophthalmol
1988;32:219-38.
- 3. Cunningham FG, Leveno KJ, Bloom SL, et al. Pregnancy
hypertension. williams obstetrics. Mc Grawhill Companies
Inc 23rd edition. 2010. p. 706-57.
- 4. Dieckman WJ. The toxemias of pregnancy. 2nd edition. St
Louis: CV Mosby, 1952. p. 240-9.
- 5. Ohio et al. Hypertensive disorders in pregnancy. In:
Cunnighm FG edition Williams Obstetrics. 21st edition.
.McGraw Hill; New York: 2001. p. 581-2.
- 6. Köken G, Yaman M, Yılmazer M, ve ark. Akut görme kaybıolgu
sunumu. Tıp Araştırmaları Dergisi 2007;5:36-8.
- 7. Mackenzie ET, Strandgaard S, Graham DI, et al. Effects
of acutely induced hypertension in cats on pial arteriolar
caliber, local cerebral flow, and the blood-barrier. Circ Res
1976;39:33-41.
- 8. Lamy C, Oppenheim C, Méder JF, et al. Neuroimaging
in posterior reversible encephalopathy syndrome. J
Neuroimaging 2004;14:89‑96.
- 9. Staykov D, Schwab S. Posterior reversible encephalopathy
syndrome. Nervenarzt 2012;83:1013‑20.
- 10. Nielsen LH, Grøn BS, Ovesen PG. Posterior reversible
encephalopathy syndrome postpartum. Clin Case Rep
2015;3:266‑70.
- 11. Richards CR, McMurray RC, Criman ET, et al. An unusual
presentation of a rare disease: Posterior reversible
encephalopathy syndrome following abdominal sepsis. J
Surg Case Rep 2016;2016:pii:rjw184.
- 12. Bo QY, Zhao XH, Yang X, et al. Reversible posterior
encephalopathy syndrome associated with late onset
postpartum eclampsia: A case report. Exp Ther Med
2016;12:1885‑8.
- 13. Fugate JE, Rabinstein AA. Posterior reversible
encephalopathy syndrome: clinical and radiological
manifestations, pathophysiology, and outstanding
questions. Lancet Neurol 2015;14:914-25.
- 14. Lamy C, Oppenheim C, Méder JF, et al. Neuroimaging
in posterior reversible encephalopathy syndrome. J
Neuroimaging 2004;14:89‑96.
- 15. Lipstein H, Lee CC, Crupi RS. A current concept of eclampsia.
Am J Emerg Med 2003;21:223-6.
- 16. Servillo G, Striano P, Striano S, et al. Posterior reversible
encephalopathy syndrome (PRES) in critically ill obstetric
patients. Intensive Care Med 2003;29:2323-6.
- 17. Anna J, Tehmina H, Helen V, et al. Visual loss in pregnancy.
survey of ophtalmology. 200;45:223-30.