Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report
Abstract Background Posterior reversible encephalopathy syndrome (PRES) often presents with a wide range of neurological symptoms, and atypical manifestations can complicate its diagnosis. We report a rare case of peripartum PRES presenting with profound transient retrograde amnesia and orofacial au...
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SpringerOpen
2025-08-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-025-00809-5 |
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| author | Sadamu Sugimoto Misako Shimizu Mariko Takebe Kousou Matsuura Tomonori Takazawa |
| author_facet | Sadamu Sugimoto Misako Shimizu Mariko Takebe Kousou Matsuura Tomonori Takazawa |
| author_sort | Sadamu Sugimoto |
| collection | DOAJ |
| description | Abstract Background Posterior reversible encephalopathy syndrome (PRES) often presents with a wide range of neurological symptoms, and atypical manifestations can complicate its diagnosis. We report a rare case of peripartum PRES presenting with profound transient retrograde amnesia and orofacial automatisms, notably in the absence of generalized seizures. Case presentation A 29-year-old primigravida developed sustained hypertension during labor. Immediately postpartum, she experienced visual disturbances, followed by altered consciousness and lip-smacking movements. She subsequently developed profound but transient retrograde amnesia, including loss of autobiographical memory. Brain magnetic resonance imaging (MRI) revealed characteristic findings of PRES in the bilateral parieto-occipital lobes, leading to a diagnosis of PRES secondary to preeclampsia. Discussion This case highlights that peripartum PRES can present with atypical neurological symptoms, such as transient global amnesia and facial automatisms, even in the absence of typical eclamptic seizures. Such presentations warrant a high index of suspicion and prompt brain MRI to ensure accurate diagnosis and timely intervention. |
| format | Article |
| id | doaj-art-d556a38e2d774cd99c5ea4a6a4d67b13 |
| institution | Kabale University |
| issn | 2363-9024 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-d556a38e2d774cd99c5ea4a6a4d67b132025-08-24T11:12:28ZengSpringerOpenJA Clinical Reports2363-90242025-08-011111710.1186/s40981-025-00809-5Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case reportSadamu Sugimoto0Misako Shimizu1Mariko Takebe2Kousou Matsuura3Tomonori Takazawa4Department of Anesthesiology, University of Toyama, Department of Anesthesiology, University of Toyama, Department of Anesthesiology, University of Toyama, Department of Anesthesiology, Toyama City HospitalDepartment of Anesthesiology, University of Toyama, Abstract Background Posterior reversible encephalopathy syndrome (PRES) often presents with a wide range of neurological symptoms, and atypical manifestations can complicate its diagnosis. We report a rare case of peripartum PRES presenting with profound transient retrograde amnesia and orofacial automatisms, notably in the absence of generalized seizures. Case presentation A 29-year-old primigravida developed sustained hypertension during labor. Immediately postpartum, she experienced visual disturbances, followed by altered consciousness and lip-smacking movements. She subsequently developed profound but transient retrograde amnesia, including loss of autobiographical memory. Brain magnetic resonance imaging (MRI) revealed characteristic findings of PRES in the bilateral parieto-occipital lobes, leading to a diagnosis of PRES secondary to preeclampsia. Discussion This case highlights that peripartum PRES can present with atypical neurological symptoms, such as transient global amnesia and facial automatisms, even in the absence of typical eclamptic seizures. Such presentations warrant a high index of suspicion and prompt brain MRI to ensure accurate diagnosis and timely intervention.https://doi.org/10.1186/s40981-025-00809-5Posterior reversible encephalopathy syndromePreeclampsiaEclampsiaEpidural labor analgesiaAmnesia |
| spellingShingle | Sadamu Sugimoto Misako Shimizu Mariko Takebe Kousou Matsuura Tomonori Takazawa Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report JA Clinical Reports Posterior reversible encephalopathy syndrome Preeclampsia Eclampsia Epidural labor analgesia Amnesia |
| title | Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report |
| title_full | Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report |
| title_fullStr | Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report |
| title_full_unstemmed | Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report |
| title_short | Posterior reversible encephalopathy syndrome during epidural labor analgesia: a case report |
| title_sort | posterior reversible encephalopathy syndrome during epidural labor analgesia a case report |
| topic | Posterior reversible encephalopathy syndrome Preeclampsia Eclampsia Epidural labor analgesia Amnesia |
| url | https://doi.org/10.1186/s40981-025-00809-5 |
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