Posterior reversible encephalopathy with late postpartum eclampsia and short-term memory loss: a case report.

Late postpartum eclampsia is more frequently recognized than past reports indicate. This report describes the association of a reversible encephalopathy in a woman with late postpartum eclampsia. A woman with lupus nephritis presented 7 days postpartum with eclampsia. Postseizure findings included dramatic short-term memory loss. Although a computed tomography scan was negative, subsequent magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated vascular changes associated with a reversible encephalopathy. Conservative treatment with analeptic and antihypertensive therapy allowed a rapid resolution of all symptomatology. In women with eclampsia and unusual neurologic findings, an MRI/MRA may be useful even in the presence of a negative computed tomography scan.

Citation

Martin L Gimovsky, Guillermo M Guzman, Karen L Koscica, Munir A Nazir, Diane E Ross. Posterior reversible encephalopathy with late postpartum eclampsia and short-term memory loss: a case report. The Journal of reproductive medicine. 2010 Jan-Feb;55(1-2):71-4

Mesh Tags

PMID: 20337212

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