EC Gynaecology

Case Report Volume 13 Issue 12 - 2024

Post-Partum Eclampsia Complicated with a Posterior Reversible Encephalopathy Syndrome: A Case Report

Abdeladim Ayadine*, Houcine Oukili, Saad Benali, Hamza Messaoudi, Moulay Mehdi Elhassani and Jaouad Kouach

Department of Gynecology-Obstetrics, Mohammed V Military University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco

*Corresponding Author: Abdeladim Ayadine, Department of Gynecology-Obstetrics, Mohammed V Military University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Received: November 08, 2024; Published: November 22, 2024



Acute severe hypertension occurring often in the setting of eclampsia or renal failure, may result in posterior reversible encephalopathy syndrome. An uncommon clinical and radiological entity that requires prompt multi-disciplinary management in order to avoid further complications. We share with readers a case of post-partum eclampsia followed by PRES, managed in intensive care unit with favorable outcome.

 Keywords: Posterior Reversible Encephalopathy Syndrome; Eclampsia; Post-Partum; Case Report

  1. Barkoudah E. “Encephalopathies”.
  2. Fugate JE and RA. “Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions”. Lancet Neurology9 (2015): 914-925.
  3. Gao B., et al. “Controversy of posterior reversible encephalopathy syndrome: what have we learnt in the last 20 years?” Journal of Neurology, Neurosurgery, and Psychiatry1 (2018): 14-20.
  4. Patil SV., et al. “Posterior reversible encephalopathy syndrome in early postpartum women: a case report”. Journal of Clinical and Diagnostic Research 4 (2014): RD01-RD02.
  5. Brady E., et al. “The imaging spectrum of posterior reversible encephalopathy syndrome: A pictorial review”. Clinical Imaging 47 (2018): 80-89.
  6. Whelton PK., et al. “Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology” (2017).
  7. Mignon A., et al. “Posterior reversible encephalopathy syndrome or postpartum reversible cerebral angiopathy: all postpartum headaches are not postdural puncture headaches”. Annales Françaises d'Anesthésie et de Réanimation 1 (2011): 3-5.
  8. Bakkali H MS., et al. “Atypical case of the postpartum posterior reversible encephalopathy associated with acute pulmonary edema”. Science Journal of Clinical Medicine1 (2014): 670-673.
  9. Postma IR., et al. “Long-term consequences of the posterior reversible encephalopathy syndrome in eclampsia and preeclampsia: a review of the obstetric and nonobstetric literature”. Obstetrical and Gynecological Survey 5 (2014): 287-300.
  10. Youssef D FF. “Posterior reversible encephalopathy syndrome in a child with steroid sensitive nephritic syndrome”. Arab Journal of Nephrology and Transplantation 3 (2012): 163-166.
  11. Brewer J., et al. “Posterior reversible encephalopathy syndrome in 46 of 47 patients with eclampsia”. American Journal of Obstetrics and Gynecology 6 (2013): 486.e1-e6.
  12. Dasgupta MK SS, PC. “Posterior reversible encephalopathy syndrome in a case of post-streptococcal glomerulonephritis”. Journal of Pediatric Sciences (2013).
  13. Singhal AB., et al. “Case records of the Massachusetts General Hospital: A 36-year-old woman with headache, hypertension, and seizure 2 weeks post partum”. New England Journal of Medicine 11 (2009): 1126-1137.
  14. Maggi G., et al. “Posterior leukoencephalopathy syndrome: Postpartum focal neurologic deficits: A report of three cases and review of the literature”. Saudi Journal of Anaesthesia 2 (2013): 205-209.
  15. Schusse CM., et al. “Posterior reversible encephalopathy syndrome”. Psychosomatics (2013): 205-211.
  16. Abdool K., et al. “Posterior reversible encephalopathy syndrome and acute post-streptococcal glomerulonephritis mimicking breakthrough seizures”. Neurology International 1 (2015): 5971.
  17. Shaharir SS., et al. “Posterior reversible encephalopathy syndrome in systemic lupus erythematosus: pooled analysis of the literature reviews and report of six new cases”. Lupus5 (2013): 492-496.
  18. Buyukaslan H., et al. “Posterior reversible encephalopathy syndrome during the peripartum period: report of four cases and review of the literature”. International Journal of Clinical and Experimental Medicine 2 (2015): 1575-1581.
  19. Poma S., et al. “Management of posterior reversible syndrome in preeclamptic women”. Case Reports in Obstetrics and Gynecology (2014): 928079.
  20. Pizon AF and AB Wolfson. “Postpartum focal neurologic deficits: posterior leukoencephalopathy syndrome”. Journal of Emergency Medicine 2 (2005): 163-166.

Abdeladim Ayadine., et al. "Post-Partum Eclampsia Complicated with a Posterior Reversible Encephalopathy Syndrome: A Case Report". EC Gynaecology 13.12 (2024): 01-05.