Posterior reversible encephalopathy associated with HELLP syndrome: A case report and review of the literature
- Author:
Seda Ates
;
Rahsan Kemerdere
;
Osman Sevket
;
Taner Molla
;
Banu Dane
- Publication Type:Case Reports
- MeSH:
HELLP Syndrome
- From:Neurology Asia
2015;20(1):91-94
- CountryMalaysia
- Language:English
-
Abstract:
We report a case of posterior reversible encephalopathy syndrome in association with hemolysis-elevated
liver enzymes-low platelet counts (HELLP) syndrome. A 29-year-old primigravida presented at 35 weeks
4 days pregnancy with headache and blurred vision and the laboratory data revealed hemolysis, elevated
liver enzymes, and low platelets. Cranial magnetic resonance imaging (MRI) showed hyperintense
signal changes in the right occipital, left cerebellar regions and the right thalamus. Follow up brain
MRI 10 days after the caesarean section showed resolution of the previous abnormalities. Posterior
reversible encephalopathy syndrome (PRES) is a neuroradiologic condition associated with headache,
seizures, altered sensorium, and visual disturbances. Although their association is rare, the diagnosis
of PRES should be considered in all HELLP patients presenting with headache and neuro-ophthalmic
signs. It is for the reason that the patients can recover well with complete reversal of clinical symptoms
within several days, when adequate treatment is immediately initiated.
- Full text:P020150623428440081818.pdf
