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Acute hydrocephalus and posterior reversible encephalopathy syndrome (pres) in postpartum period: an unexpected neurological complication
Author(s):
1. Aisha Khan Jadoon: Department of Medicine, Ziauddin University Hospital, Karachi, Pakistan
2. Saima Akhter: Department of Medicine, Ziauddin University Hospital, Karachi, Pakistan
Abstract:
Hydrocephalus and Posterior Reversible Encephalopathy Syndrome (PRES) are under-diagnosed conditions in peri-partum period. As eclampsia mimics these conditions and it can mislead the clinician to an incorrect diagnosis causing potential morbidity and mortality. A case of a 35 year old pregnant woman with seizures presented that was initially diagnosed as eclampsia but failure to regain consciousness post-delivery led to a multi disciplinary team formation and further investigation through Magnetic Resonance Imaging (MRI) that finally revealed communicating hydrocephalous and PRES. Prompt management was initiated by placing a Ventriculo-Peritoneal (VP) shunt resulting in full neurological recovery afterwards. As per author's knowledge there has not been a similar case reported as yet.
Page(s): 154-156
Published: Journal: Khyber Medical University Journal, Volume: 12, Issue: 2, Year: 2020
Keywords:
hydrocephalus , ventriculoperitoneal shunt , Eclampsia
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