Volume 24, Issue 103, May - June, 2020

Posterior reversible encephalopathy syndrome presenting as atypical eclampsia and postpartum status epilepticus

Kirti Singh^1♦, Sonakshi Singhal², Neema Acharya³, Sourya Acharya⁴, Samarth Shukla⁵

¹Resident, department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
²Resident, department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
³Professor, department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
⁴Professor, department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra
⁵Professor, department of Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra

^♦Corresponding author
Resident, department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (meghe), Wardha-442001, Maharashtra. Email: contact.kirtisingh@gmail.com

ABSTRACT

We present a case of primiparous female who had no signs of pre-eclampsia during pregnancy follow up except proteinuria and developed status epilepticus and PRES (Posterior reversible encephalopathy syndrome) in postpartum period. Patient developed seizures after delivery. Neuroimaging revealed PRES. Preeclampsia and eclampsia can may present with atypical course. Awareness and early detection of atypical cases are important for preventing fetal and maternal morbidity.

Keywords: Status epilepticus, PRES, Atypical eclampsia

Medical Science, 2020, 24(103), 1217-1221

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