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ATYPICAL ECLAMPSIA WITH POSTERIOR (PROGRESSIVE) REVERSIBLE ENCEPHALOPATHY SYNDROME

KALAIVANI K

Abstract


Atypical eclampsia refers to the occurrence of eclampsia with signs and symptoms of preeclampsia before 20 weeks of gestation, after 48hours postpartum or in the absence of signs and symptoms of preeclampsia. Posterior (progressive) reversible encephalopathy syndrome (PRES) is one of the complication of preeclampsia and eclampsia, where cerebral auto regulation is lost, leading on to cerebral hyperperfusion and vasogenic edema involving mainly the parieto occipital cortex. The important concern regarding atypical eclampsia is its unpredictable onset, if undiagnosed, is the leading causing of maternal and perinatal morbidity and mortality. Anticipation, timely diagnosis and management is mandatory. Here is one such case report which presented as ATYPICAL ECLAMPSIA with POSTERIOR (PROGRESSIVE) REVERSIBLE ENCEPHALOPATHY SYNDROME.

 


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References


WILLIAMS OBSTETRICS 23RD EDITION Page no:723 and 735

HIGH RISK PREGNANCY MANAGEMENT OPTIONS DAVID JAMES 4TH EDITION Page no 609

Sibai BM, Stella CL. Diagnosis and management of Atypical preeclampsia and eclampsia. AMERICAN JOURNAL OF OBSTETRICS AND GYNAECOLOGY MAY 2009; 200:481.e1-481.e7.

Understanding PRES by S. Legriel, F. Pico and E. Azouley


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