Posterior Reversible Posterior Leukoencephalopathy post eclampsia
DOI:
https://doi.org/10.35954/SM2015.34.1.6Keywords:
Pre-Eclampsia; Eclampsia; Birthing Centers; Postpartum Period; Hypertension; Brain DiseasesAbstract
We describe the clinical case of a 14-year-old female patient who presented post eclampsia with reversible posterior leukoencephalopathy syndrome (RPLS) in the early puerperium. This syndrome could be clinically evidenced and its tomographic objectification. RPLS presents in multiple clinical entities, including eclampsia. The patient presented at 38 weeks of gestation with eclampsia, the pregnancy was terminated by emergency cesarean section, and on the third day she had a repeated episode of seizure that ceased with the administration of magnesium sulfate. Subsequently, she developed bilateral amaurosis and paresis of the right upper limb. Two cranial tomography scans showed vasogenic edema of the white matter in the posterior cerebral area, which reverted after 72 hours both clinically and tomographically. Treatment was early, seizures were controlled and arterial hypertension was treated. The syndrome was reversed and the patient had no sequelae. In a patient with eclampsia that adds other neurological disorders, it is necessary to keep the RPLS in mind and quickly control the hypertension to prevent it from progressing to cerebral infarction.
Received for review: December 2014
Accepted for publication: March 2015
Correspondence: 8 de Octubre 3020 C.P. 11600, Montevideo, Uruguay. Tel: (+598)24876666 ext. 3330.
Contact e-mail: anabelafm@telefonica.net
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