scholarly journals Posterior reversible encephalopathy syndrome in patient of severe preeclampsia with Hellp syndrome immediate postartum

Author(s):  
Moulay Abdellah Babahabib ◽  
Ibrahima Abdillahi ◽  
Farid Kassidi ◽  
Jaouad Kouach ◽  
Driss Moussaoui ◽  
...  
Author(s):  
Lucas Alves Moura ◽  
Antônio Martins de Freitas Junior ◽  
Rafael de Cristo ◽  
Fernanda Nicoli Broch ◽  
Marcelle Naomi Oshiro Shinzato ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Stephanno Gomes Pereira Sarmento ◽  
Eduardo Feliz Martins Santana ◽  
Felipe Favorette Campanharo ◽  
Edward Araujo Júnior ◽  
Flavia Ribeiro Machado ◽  
...  

HELLP syndrome is a complication of severe forms of preeclampsia and occurs mainly in the third trimester of pregnancy. In extreme cases, it may evolve unfavorably and substantially increase maternal mortality. We present the case of an 18-year-old pregnant woman who was admitted to our emergency service in her 31st week, presenting with headache, visual disturbances, and epigastralgia, with progression to a severe condition of HELLP syndrome followed by posterior reversible encephalopathy syndrome (PRES) and hepatic infarction. We highlight the approach taken towards this patient and the case management, in which, in addition to the imaging examinations routinely available, we also used the sidestream dark field (SDF) technique to evaluate the systemic microcirculation.


2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Gokcen Orgul ◽  
Hasan Uckan ◽  
Fatih Aktoz ◽  
Ozgur Deren

Abstract Posterior reversible encephalopathy syndrome (PRES) is an uncommon disorder. PRES presents with clinical findings such as headache, seizures, visual disturbances, and altered consciousness. Here, we present a PRES case in the second trimester of pregnancy with intrauterine fetal demise. A 40-year-old woman, gravida 4 para 3, was diagnosed with HELLP syndrome based on the clinical and laboratorial findings. An emergent caesarean section was performed under magnesium sulphate (MgSO4) treatment. She had suffered vision loss with normal fundoscopic findings at postpartum period. All the clinical, laboratory and imaging findings (MRI) confirmed the diagnosis of PRES. Careful observation of the clinical findings and prompt treatment is necessary for pregnancies complicated by PRES to prevent undesirable outcomes.


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