Author(s)

Hiroshi Takagi, Kazutoshi Matsunami, Satoshi Ichigo, Takuma Katano, Atsushi Imai^*

Department of Obstetrics and Gynecology, Matsunami General Hospital, Kasamatsu, Japan.

Background: Posterior reversible encephalopathy syndrome (PRES) is a reversible syndrome characterized by seizures, headache, altered mentation, and loss of vision associated with white matter changes on imaging. Case: A 37-year-old multigravida woman had a severe, immediate postpartum eclampsia-HELLP syndrome (hemolysis, elevated liver enzyme levels, low platelet count) with PRES characterized by generalized seizures and altered mental status. Magnetic resonance brain imaging showed high-intensity lesions in non-posterior portions including the frontal lobe and cingulated gyrus, which resolved completely after 2 weeks along with complete symptom regression. Conclusions: Cases of postpartum PRES without involvement of posterior brain regions after eclampsia-HELLP syndrome are very rare. Patients with PRES do not always show typical manifestations. The importance of a prompt diagnosis is emphasized, as is the crucial role of rapid blood pressure reduction.

Posterior Reversible Encephalopathy Syndrome, Eclampsia, HELLP Syndrome, Non-Posterior Lobes

Takagi, H. , Matsunami, K. , Ichigo, S. , Katano, T. and Imai, A. (2016) A Typical Case of Posterior Reversible Encephalopathy Syndrome Associated with Postpartum Eclampsia-HELLP Syndrome. Open Journal of Obstetrics and Gynecology, 6, 355-359. doi: 10.4236/ojog.2016.66045.