Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study
Eclampsia is a multisystem disorder of pregnancy and the puerperium. Posterior reversible encephalopathy syndrome (PRES), a neurotoxic condition characterized by various neurological symptoms, can arise from multiple causes including eclampsia. Although hemorrhage is a possible complication of PRES,...
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2025-01-01
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| author | Mohamed Elshafei Hala Ashraf Oweis Yosra Abdul Hafez Thuraya Alom Zahraa Mohamed Hayani Eslam ElNebrisi |
| author_facet | Mohamed Elshafei Hala Ashraf Oweis Yosra Abdul Hafez Thuraya Alom Zahraa Mohamed Hayani Eslam ElNebrisi |
| author_sort | Mohamed Elshafei |
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| description | Eclampsia is a multisystem disorder of pregnancy and the puerperium. Posterior reversible encephalopathy syndrome (PRES), a neurotoxic condition characterized by various neurological symptoms, can arise from multiple causes including eclampsia. Although hemorrhage is a possible complication of PRES, subarachnoid hemorrhage (SAH) is a rare occurrence in eclamptic patients with this condition. A 33-year-old female patient presented with acute severe headache and blurred vision two days after delivery. This progressively worsened over the next five days before she was admitted to the hospital. A magnetic resonance imaging (MRI) brain scan with contrast revealed a picture suggestive of PRES. Following admission, she had seizures, and a follow-up MRI revealed an acute subarachnoid hemorrhage. Treatment started, and the patient improved and was discharged from the hospital without any residual symptoms. This case illustrates how eclampsia can be a risk factor for PRES, and although hemorrhagic PRES is becoming more recognized, SAH remains an unusual but critical presentation. Early and accurate diagnosis, along with effective management, is crucial for achieving a positive outcome. |
| format | Article |
| id | doaj-art-17fac31bc403486292e76f93aa48dfe6 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-01-01 |
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| series | Medicina |
| spelling | doaj-art-17fac31bc403486292e76f93aa48dfe62025-01-24T13:40:30ZengMDPI AGMedicina1010-660X1648-91442025-01-016117710.3390/medicina61010077Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case StudyMohamed Elshafei0Hala Ashraf Oweis1Yosra Abdul Hafez2Thuraya Alom3Zahraa Mohamed Hayani4Eslam ElNebrisi5Department of Neurology, Zulekha Hospital, Dubai 48577, United Arab EmiratesDepartment of Internal Medicine, Dubai Medical College for Girls, Dubai 20170, United Arab EmiratesDepartment of Internal Medicine, Dubai Medical College for Girls, Dubai 20170, United Arab EmiratesDepartment of Internal Medicine, Dubai Medical College for Girls, Dubai 20170, United Arab EmiratesDepartment of Internal Medicine, Dubai Medical College for Girls, Dubai 20170, United Arab EmiratesDepartment of Biomedical Sciences, Dubai Medical College for Girls, Dubai 20170, United Arab EmiratesEclampsia is a multisystem disorder of pregnancy and the puerperium. Posterior reversible encephalopathy syndrome (PRES), a neurotoxic condition characterized by various neurological symptoms, can arise from multiple causes including eclampsia. Although hemorrhage is a possible complication of PRES, subarachnoid hemorrhage (SAH) is a rare occurrence in eclamptic patients with this condition. A 33-year-old female patient presented with acute severe headache and blurred vision two days after delivery. This progressively worsened over the next five days before she was admitted to the hospital. A magnetic resonance imaging (MRI) brain scan with contrast revealed a picture suggestive of PRES. Following admission, she had seizures, and a follow-up MRI revealed an acute subarachnoid hemorrhage. Treatment started, and the patient improved and was discharged from the hospital without any residual symptoms. This case illustrates how eclampsia can be a risk factor for PRES, and although hemorrhagic PRES is becoming more recognized, SAH remains an unusual but critical presentation. Early and accurate diagnosis, along with effective management, is crucial for achieving a positive outcome.https://www.mdpi.com/1648-9144/61/1/77posterior reversible encephalopathy syndromesubarachnoid hemorrhageeclampsia |
| spellingShingle | Mohamed Elshafei Hala Ashraf Oweis Yosra Abdul Hafez Thuraya Alom Zahraa Mohamed Hayani Eslam ElNebrisi Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study Medicina posterior reversible encephalopathy syndrome subarachnoid hemorrhage eclampsia |
| title | Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study |
| title_full | Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study |
| title_fullStr | Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study |
| title_full_unstemmed | Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study |
| title_short | Late Postpartum Eclampsia with Posterior Reversible Encephalopathy Syndrome and Subarachnoid Hemorrhage: A Case Study |
| title_sort | late postpartum eclampsia with posterior reversible encephalopathy syndrome and subarachnoid hemorrhage a case study |
| topic | posterior reversible encephalopathy syndrome subarachnoid hemorrhage eclampsia |
| url | https://www.mdpi.com/1648-9144/61/1/77 |
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