title: A pregnant woman with clinical and radiological findings compatible with posterior reversible encephalopathy syndrome in early pregnancy without discernable underlying disorders: atypical type of this syndrome?
abstract: Posterior reversible encephalopathy syndrome, if it occurs in late pregnancy, requires pregnancy termination. Here, we report a woman without a discernable underlying condition who developed neurological deficits at 14 weeks of pregnancy. Magnetic resonance imaging demonstrated an occipitoparietal brain lesion suggestive of posterior reversible encephalopathy syndrome. Neurological symptoms ameliorated spontaneously and she continued her pregnancy to term. A decision to terminate pregnancy based on only neurological and magnetic resonance imaging findings should be avoided.
authors.affiliation: Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan. matsushi@jichi.ac.jp
authors.forename: Shigeki
authors.initials: S
authors.lastname: Matsubara
authors.forename: Akifumi
authors.initials: A
authors.lastname: Fujita
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Muramatsu
authors.forename: Rie
authors.initials: R
authors.lastname: Usui
authors.forename: Kenro
authors.initials: K
authors.lastname: Chikazawa
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Suzuki
mesh_terms: D000328:Adult; D005260:Female; D006261:Headache; D006423:Hemianopsia / Q000209:etiology; D006801:Humans; D050498:Live Birth; D008279:Magnetic Resonance Imaging; D018908:Muscle Weakness / Q000209:etiology; D054038:Posterior Leukoencephalopathy Syndrome / Q000473:pathology* / Q000503:physiopathology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000503:physiopathology*; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D011296:Prenatal Diagnosis; D012075:Remission, Spontaneous; D014839:Vomiting