An Unusual Case of Posterior Reversible Encephalopathy Syndrome

A 21-year-old pregnant female with no significant past medical history presented with acute onset headache and nausea as well as tonic-clonic seizures, then rapidly decompensated into a coma with complete absence of brainstem reflexes. The patient was ultimately diagnosed with hemolysis, elevated li...

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Detalles Bibliográficos
Autores principales: Zemple, Robert P., Pelleg, Tomer, Cossio, Moises R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965172/
https://www.ncbi.nlm.nih.gov/pubmed/29849324
http://dx.doi.org/10.5811/cpcem.2017.3.30999
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author Zemple, Robert P.
Pelleg, Tomer
Cossio, Moises R.
author_facet Zemple, Robert P.
Pelleg, Tomer
Cossio, Moises R.
author_sort Zemple, Robert P.
collection PubMed
description A 21-year-old pregnant female with no significant past medical history presented with acute onset headache and nausea as well as tonic-clonic seizures, then rapidly decompensated into a coma with complete absence of brainstem reflexes. The patient was ultimately diagnosed with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome) and subsequent posterior reversible encephalopathy syndrome (PRES) with brainstem involvement. Emergent delivery and blood pressure control resulted in rapid and complete neurologic recovery.
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spelling pubmed-59651722018-05-30 An Unusual Case of Posterior Reversible Encephalopathy Syndrome Zemple, Robert P. Pelleg, Tomer Cossio, Moises R. Clin Pract Cases Emerg Med Case Report A 21-year-old pregnant female with no significant past medical history presented with acute onset headache and nausea as well as tonic-clonic seizures, then rapidly decompensated into a coma with complete absence of brainstem reflexes. The patient was ultimately diagnosed with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome) and subsequent posterior reversible encephalopathy syndrome (PRES) with brainstem involvement. Emergent delivery and blood pressure control resulted in rapid and complete neurologic recovery. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017-07-14 /pmc/articles/PMC5965172/ /pubmed/29849324 http://dx.doi.org/10.5811/cpcem.2017.3.30999 Text en © 2017 Zemple et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Zemple, Robert P.
Pelleg, Tomer
Cossio, Moises R.
An Unusual Case of Posterior Reversible Encephalopathy Syndrome
title An Unusual Case of Posterior Reversible Encephalopathy Syndrome
title_full An Unusual Case of Posterior Reversible Encephalopathy Syndrome
title_fullStr An Unusual Case of Posterior Reversible Encephalopathy Syndrome
title_full_unstemmed An Unusual Case of Posterior Reversible Encephalopathy Syndrome
title_short An Unusual Case of Posterior Reversible Encephalopathy Syndrome
title_sort unusual case of posterior reversible encephalopathy syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965172/
https://www.ncbi.nlm.nih.gov/pubmed/29849324
http://dx.doi.org/10.5811/cpcem.2017.3.30999
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