Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome

Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome

Summary

We present a lady in whom late post-partum eclampsia (LPE) was overlooked. The diagnosis was delayed and only made when MRI brain demonstrated posterior reversible encephalopathy syndrome (PRES). There is a need for greater awareness of both LPE and PRES. We summarise the recent literature and emphasise the importance of recognising the conditions on clinical grounds so that treatment can be started without delay.
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References

  1. Lubarsky SL, Barton JR, Friedman SA, et al. Late postpartum eclampsia revisited. Obstet Gynecol 1994 83: 502–5.
  2. Sibai BM. Diagnosis, prevention and management of eclampsia. Obstet Gynecol 2005 105: 402–10.
  3. Veltkamp R, Kupsch A, Polasek J, et al. Late onset postpartum eclampsia without pre-eclamptic prodrome: clinical and neuroradiological presentation in 2 patients. J Neurol Neurosurg Psychiatry 2000 69: 824–7.
  4. Hinchey J, Chaves C, Appignani B, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996 334: 494–500
  5. Martin J, Sidman R. Late postpartum eclampsia: a common presentation of an uncommon diagnosis. J Emerg Med 2003 25: 387–90.
  6. Schwartz RB, Bravo SM, Klufas RA, et al. Cyclosporine neurotoxicity and its relationship to hypertensive encephalopathy: CT and MR findings in 16 cases. AJR Am J Roentgenol 1995 165: 627–31.
  7. Schaefer PW, Buonanno FS, Gonzales RG, et al. Diffusion-weighted imaging discriminates between cytotoxic and vasogenic edema in a patient with eclampsia. Stroke 1997 28: 1082–5.
  8. Finocchi V, Bozzao A, Bonamini M, et al. Magnetic resonance imaging in Posterior Reversible Encephalopathy Syndrome: report of three cases and review of literature. Arch Gynecol Obstet; 2005 271:79–85.
  9. Lamy C, Oppenheim C, Meder JF, et al. Neuroimaging in posterior reversible encephalopathy syndrome. J Neuroimaging 2004; 14:89–96.
  10. Nuwer JM & Eshagian S. Late postpartum eclampsia with posterior reversible encephalopathy syndrome. Hospital Physician 2007 June: 45–49.

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Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome

1st March 2016
PMID: 21611575
Authors Affiliations
Vijay Joshi MRCP MD Respiratory registrar Salisbury district hospital Salisbury SP2 8BJ Email: vbj_@hotmail.com
Dominic Julian Mort Consultant neurologist Chase Farm Hospital The Ridgeway, Enfield, Middlesex, EN2 8JL Email address: dmort@bcf. nhs.uk, d.mort@doctors. org.uk

Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome

Cite this article as:

Joshi V, Mort DJ. Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome. Acute Med. 2008;7(2):87-8. PMID: 21611575.

Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome

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