Posterior reversible encephalopathy syndrome (PRES) in a pregnant with blindness: a case report

Year 2015, , 76 - 79, 16.03.2015

Ayşe Yasemin Karageyim Karşıdağ , Esra Esim Büyükbayrak , Seda Subaş Erdinç Şişman Seviye Bora Şişman

https://doi.org/10.16948/zktb.38486

Abstract

Posterior Reversible Encephalopathy Syndrome (PRES) is characterized by clinical symptoms such as visual disturbance, altered mental status, and seizures. It also presented with abnormal findings on computed tomography (CT) and magnetic resonance imaging (MRI) indicating cerebral edema in the occipital, temporal, and parietal lobes. It is often related with an acute increase in arterial blood pressure, and is associated with preeclampsia, renal failure, infections, and immunosuppressive agents. Early diagnosis and treatment of PRES is very important. PRES is a medical emergency and it is a fully reversible condition especially when diagnosed and treated immediately. Herein we report a case presented with blindness and diagnosed with MRI as PRES.

Keywords

posteriorreversible encephalopathy syndrome, pregnancy, preeclampsia

Görme kaybı ile başvuran gebede posterior reversibl ensefalopati sendromu (PRES): olgu sunumu

Abstract

Posterior Reversibl Enselopati Sendromu (PRES) görme bozuklukları, mental durum bozukluğu ve nöbetler ile seyreden bir sendromdur. Bilgisayarlı tomografi (BT) ve magnetik rezonans (MR) görüntülemede oksipital, temporal ve pariyetal lobda ödem mevcuttur. Sıklıkla ani yükselen ve kompanse edilemeyen arter basıncına bağlı olarak; preeklampsi, böbrek yetmezliği, enfeksiyonlar ve immunosüpressif ilaçlar zemininde gelişir. PRES’in erken tanı ve tedavisi önemlidir. PRES medikal acillerden biridir ve özellikle erken tanı ve hızlı tedavi ile tamamen geri dönüşümlü bir sendromdur. Burada görme kaybı ile başvuran, preeklampsi zemininde gelişen ve MR ile tanısı konulan PRES sendromu olgusunu sunduk.

Keywords

posterior reversibl ensefalopati sendromu, gebelik, preeklampsi

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