title: Late postpartum eclampsia complicated with posterior reversible encephalopathy syndrome: a case report and a literature review.
abstract: Posterior reversible encephalopathy syndrome (PRES) is a rare but serious clinical-neuroradiological entity characterized by headache, vomiting, visual disturbances, altered mental status, seizures, and unconsciousness associated with the characteristic imaging findings including sub-cortical vasogenic edema at the bilateral parietal and occipital lobes. We describe a case of 28-year-old PRES patient secondary to delayed maternal postpartum eclampsia. This patient was not initially diagnosed with pre-eclampsia and PRES. The diagnosis was established after magnetic resonance imaging. After treatment this patient's PRES resolved. Early diagnosis and treatment are the keys to reverse PRES. A literature review for PRES is provided in this report.
authors.affiliation: 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
authors.forename: Lihong
authors.initials: L
authors.lastname: Zhang
authors.affiliation: 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
authors.forename: Yacong
authors.initials: Y
authors.lastname: Wang
authors.affiliation: 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Shi
authors.affiliation: 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
authors.forename: Jianhui
authors.initials: J
authors.lastname: Cao
authors.affiliation: 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
authors.forename: Zhenzhong
authors.initials: Z
authors.lastname: Li
authors.affiliation: 1 Department of Neurology, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China ; 2 Department of Ophthalmology, the Fourth Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 3 Department of Radiology, 4 Department of Orthopedics, the First Hospital of Shijiazhuang, Shijiazhuang 050011, China ; 5 Department of Imaging and Interventional Radiology, the Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
authors.forename: Yì-Xiáng J
authors.initials: YX
authors.lastname: Wáng
keywords: Posterior reversible encephalopathy syndrome (PRES); late postpartum eclampsia; magnetic resonance imaging; reversible posterior leukoencephalopathy syndrome (RPLS); vasogenic edema