title: Posterior reversible encephalopathy syndrome in patient of severe preeclampsia with Hellp syndrome immediate postpartum.
abstract: Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-neuroradiologic condition, not commonly reported in the literature. PRES is an uncommon complication of severe preeclampsia/eclampsia. We report the management of one patient with postpartum preeclampsia as an association of HELLP syndrome presenting with status-epileptics. Early diagnosis along with timely supportive therapy resulted in the successful management of this challenging case. Recent understanding on the pathophysiology of this uncommon condition is discussed. We highlight the importance to obstetricians, intensive-care physicians and anesthesiologists of recognizing such cases.
authors.affiliation: Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco.
authors.forename: Moulay Abdellah
authors.initials: MA
authors.lastname: Babahabib
authors.affiliation: Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco.
authors.forename: Ibrahima
authors.initials: I
authors.lastname: Abdillahi
authors.affiliation: Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco.
authors.forename: Farid
authors.initials: F
authors.lastname: Kassidi
authors.affiliation: Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco.
authors.forename: Jaouad
authors.initials: J
authors.lastname: Kouach
authors.affiliation: Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco.
authors.forename: Driss
authors.initials: D
authors.lastname: Moussaoui
authors.affiliation: Department of Gynecology-obstetrics, Military Training Hospital Mohamed V, Rabat, Morocco.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Dehayni
mesh_terms: D000328:Adult; D042241:Early Diagnosis; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D006801:Humans; D054038:Posterior Leukoencephalopathy Syndrome / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000503:physiopathology* / Q000628:therapy; D011247:Pregnancy; D012720:Severity of Illness Index; D013226:Status Epilepticus / Q000209:etiology
keywords: Encephalopathy; Hellp syndrome; preeclampsia