Posterior Reversible Encephelopathy Syndrome Presenting as Quadriparesis in Pregnancy Induced HypertensionCorrespondence Address :
Dr. Debasish Choudhary,
Professor, Department of Medicine, Lady Harding Medical College and Associate Hospitals, New Delhi -110001, India.
E-mail : email@example.com
Pregnancy Induced Hypertension (PIH) is a condition characterised by raised blood pressure in pregnancy. It affects approximately one out of every 14 pregnant women. Although PIH more commonly occurs during first pregnancy, it can also occur in subsequent pregnancies. It can present with variable complications related to vasospasm. But focal neurologic deficits are extremely rare in patients with PIH. We report a case of quadriparesis due to posterior reversible encephalopathy syndrome (PRES). A 36 year old full term pregnant female was admitted for emergency lower segment caesarean section (LSCS) as a result of uncontrolled PIH with early clinical signs of left ventricular failure. She was recovering well from pulmonary oedema after being provided with mechanical ventilation. However on 4th day she developed sudden onset quadriparesis without any alteration in sensorium, bladder & bowel disturbance or any sensory deficit. Diffusion weighted neuroimaging (DWI) was carried out which revealed finding suggestive of PRES. The patient was treated with antihypertensive which followed improvement in neurological deficit. Although rare, PRES should be considered as a potential cause of acute onset focal neurological deficit in pregnant females with PIH. With this case report we have tried to create awareness and vigilance about rare but potentially serious yet salvageable condition like PRES.
Clinicoradiological entity, Preeclampsia, Pulmonary oedema
Pranita, Ajit Kumar, Seema Shahi, Debasish Choudhary. POSTERIOR REVERSIBLE ENCEPHELOPATHY SYNDROME PRESENTING AS QUADRIPARESIS IN PREGNANCY INDUCED HYPERTENSION. Journal of Clinical and Diagnostic Research [serial online] 2015 April [cited: 2019 Aug 19 ]; 9:OD08-OD09. Available from
Date of Submission: Oct 07, 2014
Date of Peer Review: Mar 10, 2015
Date of Acceptance: Mar 20, 2015
Date of Publishing: Apr 01, 2015
Financial OR OTHER COMPETING INTERESTS: None.
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