外科与麻醉杂志

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Atypical Posterior Reversible Encephalopathy Syndrome (PRES) in Eclampsia in Primigravida with Twin Pregnancy: A Case Report

Surekha S Chavan, Madhu A Chavan, Priyanka Gedam, Ishaa Pradhan, Stefen Jebaraj, Priya Chavre

“Posterior Reversible Encephalopathy Syndrome” (PRES) is a clinico-neuroradiological syndrome of heterogeneous etiologies. The syndrome is characterized by headache, visual disturbances, altered consciousness, seizure disorder, focal neurological signs, lethargy, nausea/vomiting. When areas of brain other than parieto-occipital region are predominantly involved, the syndrome is called atypical PRES, which is a rare clinical entity. The global incidence of PRES is unknown, but high in patients with eclampsia. PRES is a reversible condition but can be fatal. Delay in diagnosis and treatment can lead to cerebral ischemia or haemorrhage leading to permanent neurological damage. Magnetic Resonance Imaging (MRI) remains gold standard for diagnosis. Here we report anaesthesia management of emergency caesarean delivery of twins in primigravida woman with Atypical PRES in eclampsia without any neurological deficit.