MANAGEMENT OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME IN AN UNBOOKED TERM PREGNANT CASE WITH ECLAMPSIA.

Author:

Aggarwal Sunny1,dev Priyanka2,Mazumder Sagar3

Affiliation:

1. Senior Resident, department of anaesthesiology, NEIGRIHMS , Shillong- 793018.

2. Assistant professor. department of anaesthesiology, NEIGRIHMS , Shillong-793018.

3. Senior Resident, department of anaesthesiology, NEIGRIHMS , Shillong-793018

Abstract

Posterior reversible encephalopathy syndrome (PRES) usually presents with headache, confusion, visual disturbances or blindness and seizures. MRI is gold standard with parieto-occipital white matter changes due to vasogenic oedema in most of the cases. We report a 20-year-old unbooked primigravida with eclampsia prior to delivery which got complicated by PRES after delivery on day 1 postpartum. General anesthesia was given for caesarean section and post operatively patient was managed in ICU with strict blood pressure and seizure control. Clinical improvement with complete resolution without any complications was observed on the day 10 postpartum.

Publisher

World Wide Journals

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