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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2014  |  Volume : 4  |  Issue : 1  |  Page : 50-52

Postpartum seizures with posterior reversible encephalopathy syndrome following cesarean delivery for triplets

Department of Anaesthesiology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Navi Mumbai, Maharashtra, India

Correspondence Address:
Anita Chhabra
1603, 1604, Marathon Galaxy 1, LBS Road, Mulund (West), Mumbai - 400 080, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2249-4472.132830

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Posterior reversible encephalopathy syndrome (PRES) is a recently described clinicoradiologic entity that is associated with several medical conditions like hypertensive encephalopathy and eclampsia. It presents with rapid onset of symptoms including headache, seizures, altered consciousness, and visual disturbance. It is often, but not always associated with high blood pressure. We present a case of 23-year-old patient, with unremarkable antenatal period, who developed convulsions in the immediate postpartum period following elective cesarean delivery of her triplets performed under regional anesthesia. The magnetic resonance imaging brain revealed vasogenic edema suggestive of PRES. She was managed with supportive treatment including mechanical ventilation in the intensive care unit. She recovered completely without neurological sequelae and discharged on the 8 th postoperative day. This case report highlights the importance of awareness, prompt diagnosis and treatment to improve the outcome in this potentially life-threatening, but reversible condition.

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