Article (Scientific journals)
A reversible posterior leucoencephalopathy syndrome including blindness caused by preeclampsia.
Vandenbossche, Gautier; Maquet, J.; Vroonen, Philippe et al.
2016In Facts, Views and Vision in Obgyn, 8 (3), p. 173-177
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Keywords :
Blindness; PRES; posterior reversible encephalopathy syndrome; preeclampsia; pregnancy complication
Abstract :
[en] Complications of (pre)eclampsia may involve multiple systems and organs. Neurological symptoms may occur. Visual symptoms concern up to 25% the of patients with severe preeclampsia and 50% of the patients with eclampsia. An uncommon effect of severe preeclampsia is sudden blindness. Blindness may be part of a clinical and radiological presentation named Posterior Reversible Encephalopathy Syndrome (PRES). PRES may lead to permanent neurological deficit, recurrences or death. We report the case of a 24-year-old Caucasian patient, gravida 5 para 2 who developed preeclampsia and PRES complicated with blindness at 32 weeks of gestation. Optimal care allowed visual symptoms to resolve within 24 hours and a favourable maternal outcome and no long- term sequelae. We describe different causes and manifestations of PRES and highlight the need for immediate care in order to optimize the chance of symptoms reversibility.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Vandenbossche, Gautier
Maquet, J.
Vroonen, Philippe
LAMBERT, Géraldine ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'anesthésie - réanimation
Nisolle, Michelle ;  Université de Liège > Département des sciences cliniques > Gynécologie - Obstétrique
Kridelka, Frédéric ;  Université de Liège > Département des sciences cliniques > Gynécologie-Obstétrique
Emonts, Patrick ;  Université de Liège > Département des sciences cliniques > Gynécologie - Obstétrique
Language :
English
Title :
A reversible posterior leucoencephalopathy syndrome including blindness caused by preeclampsia.
Publication date :
2016
Journal title :
Facts, Views and Vision in Obgyn
ISSN :
2032-0418
Publisher :
The Walking Egg Foundation, Wetteren, Belgium
Volume :
8
Issue :
3
Pages :
173-177
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 11 February 2017

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