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A global amnesia associated with the specific variant of posterior reversible encephalopathy syndrome (PRES) that developed due to severe preeclampsia and malignant hypertension.

Borovac JA, Božić J, Žaja N, Kolić K, Hrboka V - Oxf Med Case Reports (2016)

Bottom Line: A post-partum magnetic resonance imaging of the brain in FLAIR mode revealed multiple cortico-subcortical areas of hyperintense signals suggestive of edematous lesions that chiefly involved occipital and parietal lobes with additional atypical manifestations.Such radiologic findings suggested a posterior reversible encephalopathy syndrome variant with the global amnesia as an extraordinary constituent.This unique feature should be acknowledged when treating a preeclamptic or hypertensive patient that exhibits neurological symptomatology and vision disturbances.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathophysiology , University of Split School of Medicine , Šoltanska 2, 21 000 Split , Croatia.

ABSTRACT
A case is reported of a 26-year-old primiparous woman in the 32nd week of gestation who presented to the emergency department with the symptoms of a severe headache, nausea and vomiting. The patient was diagnosed with preeclampsia that later progressed to eclampsia. This state was characterized by a sudden onset of a headache and diplopia that advanced to cortical blindness and precipitated significant alterations in mental status, most notable being global amnesia that resolved within 48 h. A post-partum magnetic resonance imaging of the brain in FLAIR mode revealed multiple cortico-subcortical areas of hyperintense signals suggestive of edematous lesions that chiefly involved occipital and parietal lobes with additional atypical manifestations. Such radiologic findings suggested a posterior reversible encephalopathy syndrome variant with the global amnesia as an extraordinary constituent. This unique feature should be acknowledged when treating a preeclamptic or hypertensive patient that exhibits neurological symptomatology and vision disturbances.

No MeSH data available.


Related in: MedlinePlus

A 6-month follow-up horizontal FLAIR MRI scan showing full regression of PRES and no signs of edema or demyelination processes—full recovery.
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OMW016F4: A 6-month follow-up horizontal FLAIR MRI scan showing full regression of PRES and no signs of edema or demyelination processes—full recovery.

Mentions: A 6-month follow-up MRI scan of the brain revealed normal brain morphology, with complete remission of edematous lesions and no radiologic signs of pathological demyelination processes (Fig. 4). Likewise, a complete memory content was evaluated at the 6-month follow-up regular outpatient check-up, and the patient reported no cognitive difficulties in acquiring or retrieving information. In addition, she achieved normal BP values, and her antihypertensive therapy was discontinued.Figure 2:


A global amnesia associated with the specific variant of posterior reversible encephalopathy syndrome (PRES) that developed due to severe preeclampsia and malignant hypertension.

Borovac JA, Božić J, Žaja N, Kolić K, Hrboka V - Oxf Med Case Reports (2016)

A 6-month follow-up horizontal FLAIR MRI scan showing full regression of PRES and no signs of edema or demyelination processes—full recovery.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4836601&req=5

OMW016F4: A 6-month follow-up horizontal FLAIR MRI scan showing full regression of PRES and no signs of edema or demyelination processes—full recovery.
Mentions: A 6-month follow-up MRI scan of the brain revealed normal brain morphology, with complete remission of edematous lesions and no radiologic signs of pathological demyelination processes (Fig. 4). Likewise, a complete memory content was evaluated at the 6-month follow-up regular outpatient check-up, and the patient reported no cognitive difficulties in acquiring or retrieving information. In addition, she achieved normal BP values, and her antihypertensive therapy was discontinued.Figure 2:

Bottom Line: A post-partum magnetic resonance imaging of the brain in FLAIR mode revealed multiple cortico-subcortical areas of hyperintense signals suggestive of edematous lesions that chiefly involved occipital and parietal lobes with additional atypical manifestations.Such radiologic findings suggested a posterior reversible encephalopathy syndrome variant with the global amnesia as an extraordinary constituent.This unique feature should be acknowledged when treating a preeclamptic or hypertensive patient that exhibits neurological symptomatology and vision disturbances.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Pathophysiology , University of Split School of Medicine , Šoltanska 2, 21 000 Split , Croatia.

ABSTRACT
A case is reported of a 26-year-old primiparous woman in the 32nd week of gestation who presented to the emergency department with the symptoms of a severe headache, nausea and vomiting. The patient was diagnosed with preeclampsia that later progressed to eclampsia. This state was characterized by a sudden onset of a headache and diplopia that advanced to cortical blindness and precipitated significant alterations in mental status, most notable being global amnesia that resolved within 48 h. A post-partum magnetic resonance imaging of the brain in FLAIR mode revealed multiple cortico-subcortical areas of hyperintense signals suggestive of edematous lesions that chiefly involved occipital and parietal lobes with additional atypical manifestations. Such radiologic findings suggested a posterior reversible encephalopathy syndrome variant with the global amnesia as an extraordinary constituent. This unique feature should be acknowledged when treating a preeclamptic or hypertensive patient that exhibits neurological symptomatology and vision disturbances.

No MeSH data available.


Related in: MedlinePlus