Delayed diagnosis of posterior reversible encephalopathy syndrome (PRES) in a parturient with preeclampsia after inadvertent dural puncture.
Posterior reversible encephalopathy syndrome is a rare complication generally associated with headache and acute changes in blood pressure. We present a case of posterior reversible encephalopathy syndrome where diagnosis was delayed because the patient also had preeclampsia and an inadvertent dural puncture, both associated with headache. The clinical challenge and the need for prompt diagnosis and treatment are emphasized.
Torrillo
T M
TM
Department of Anesthesiology, Mount Sinai School of Medicine, New York, NY 10029-6574, USA. torrillt@hotmail.com
Bronster
D J
DJ
Beilin
Y
Y
D000328:Adult; D001921:Brain / Q000473:pathology; D002121:Calcium Channel Blockers / Q000008:administration & dosage; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D020343:Hypertensive Encephalopathy / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008278:Magnesium Sulfate / Q000008:administration & dosage; D008279:Magnetic Resonance Imaging / Q000379:methods; D019300:Medical Errors; D011007:Pneumocephalus / Q000209:etiology; D051299:Post-Dural Puncture Headache / Q000175:diagnosis* / Q000209:etiology; D011225:Pre-Eclampsia / Q000175:diagnosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis; D035583:Rare Diseases; D012640:Seizures / Q000209:etiology; D013129:Spinal Puncture / Q000009:adverse effects; D013577:Syndrome; D013995:Time
D002121:Calcium Channel Blockers; D008278:Magnesium Sulfate