Sindrome da encefalopatia posteriore reversibile in puerperio, diagnosi e management clinico

Translated title of the contribution: Posterior reversible encephalophaty syndrome in pregnants: Diagnosis and clinical management

A. D'elia, V. D. Mandato, F. Vanacore, L. Costagliola, R. Borrelli

Research output: Contribution to journalArticle

Abstract

Pregnant women with seizures, are usually considered, to be affected by eclampsia until other causes are diagnosed. Eclampsia may be described as the occurrence of convulsions and/or coma during pregnancy, labour or within seven days after delivery when there is no another identifiable cause. However, other diagnosis like epilepsy, encephalitis and tumour should also be considered, especially in the absence of pre-eclamptic symptoms. A patient underwent seizures a few hours after delivery, without pre-eclamptic symptoms, however, the case history and MR images showed typical characteristics of Posterior Reversible Encephalophathy Syndrome (PRES). Even if eclampsia's clinical characteristics could be more variable than commonly assumed, the patient was affected by seizures not due to gestosis; on the contrary, she presented a clinical and neuroradiologic picture leading to PRES. It was remarkable for us to confirm the association between pregnancy and PRES, considering that PRES is a reversible condition if quickly recognized and opportunely treated; as well as to stress the importance of doing an MR in women with seizures.

Translated title of the contributionPosterior reversible encephalophaty syndrome in pregnants: Diagnosis and clinical management
Original languageItalian
Pages (from-to)257-261
Number of pages5
JournalGiornale Italiano di Ostetricia e Ginecologia
Volume30
Issue number8-9
Publication statusPublished - Aug 2008

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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