Posterior Reversible Encephalopathy Syndrome in Postpartum Seizure Etiology

Öz

Posterior reversible encephalopathy syndrome PRES is a temporary condition which is clinically characterized by headache, confusion, blurring of consciousness, visual disturbances and convulsion and radiologically characterized by edema in the posterior areos of the brain. However, delayed diagnosis and treatment can lead to fatal complications. In this article, we presented a case with postpartum seizure who was clinically and radiologically diagnosed as PRES, to emphasize the necessity of keeping the PRES syndrome in mind.

Anahtar Kelimeler

• Postpartum seizure,posterior reversible encephalopathy syndrome

Postpartum Nöbet Etiyolojisinde Posterior Reversible Ensefalopati Sendromu

Öz

Posterior reversible ensefalopati sendromu PRES baş ağrısı, konfüzyon, şuur bulanıklığı, görme bozuklukları ve nöbet ile klinik bulgu veren ve radyolojik olarak beynin posterior alanlarında ödem ile karakterize geçici bir durumdur ancak tanı ve tedavinin gecikmesi durumunda ölümcül olabilecek komplikasyonlar gelişebilir. Bu makalede postpartum nöbet geçiren ve klinik ve radyolojik olarak PRES tanısı konan bir olgu sunularak ayırıcı tanıda PRES sendromunun akılda tutulması gerekliliği vurgulanmıştır.

Anahtar Kelimeler

• Postpartum nöbet,posterior reversible ensefalopati sendromu

Kaynakça

1. Chou MC, Lai PH, Yeh LR, Li JY, Yuan MK, Liang HL, Chen C, Pan HB, Lo YK, Yang CF. Posterior reversible encephalopathy syndrome: magnetic re- sonance imaging an diffusion-weighted imaging in 12 cases. Kaohsiung J Med Sci 2004;20:381-388.
2. Bartynski WS. Posterior reversible encephalopathy syndrome, part 2: controversies surrounding pathophysiology of vasogenic edema. AJNR Am J Neuroradiol 2008;29:1043-1049.
3. Wu Q, Marescaux C, Wolff V, Jeung MY, Kessier R, Lauer V, Chen Y. Tac- rolimus-associated posterior reversible encephalopathy syndrome after solid organ transplantation. Eur Neurol 2010;64:169-177.
4. Fugate JE, Claassen DO, Cloft HJ, Kallmes DF, Kozak OS, Rabinstein AA. Posterior reversible encephalopathy syndrome: associated clinical and radiologic findings Mayo Clin Proc 2010;85:427-432.
5. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, Pessin MS, Lamy C, Mas JL, Caplan LR. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996;334:494-500.
6. Szer IS, Miller JH, Rawlings D, Shaham B, Bernstein B. Cerebral perfusion abnormalities in children with central nervous system manifestations of lupus detected by single photon emission computed tomography J Rheu- matol 1993;20:2143-2148.
7. MacKenzie ET, Strandgaard S, Graham DI, Jones JV, Harper AM, Far- rar JK. Effects of acutely induced hypertension in cats on pial arteriolar caliber, local cerebral blood flow, and the blood-brain barrier. Circ Res 1976;39:33-41.
8. Kalimo H, Fredriksson K, Nordborg C, Auer RN, Olsson Y, Johansson B. The spread of brain oedema in hypertensive brain injury. Med Biol 1986;64:133-137.

9. Edvinsson L, Owman C, Sjöberg NO. Autonomic nerves, mast cells and amine receptors in human brain vessels. A histochemical and pharmaco- logical study. Brain Res 1976;115:377-393.
10. Won SC, Kwon SY, Han JW, Choi SY, Lyu CJ. Posterior reversible encep- halopathy syndrome in childhood with hematologic/oncologic diseases. J Pediatr Hematol Oncol 2009;31:505-508.
11. Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. AJNR Am J Neuroradiol 2008;29:1036-1042.
12. Casey SO, Sampaio RC, Michel E, Truwit CL. Posterior reversible en- cephalopathy syndrome: utility of fluid-attenuated inversion recovery MR imaging in the detection of cortical and subcortical lesions. AJNR 2000;21:1199-1206.