Soonchunhyang Med Sci.  2017 Jun;23(1):38-41. 10.0000/sms.2017.23.1.38.

Posterior Reversible Encephalopathy Syndrome Following Meningitis in Pregnancy

Affiliations
  • 1Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a clinical-neuroradiological entity characterized by headache, vomiting, mental change, and seizures as well as images suggesting leptomeningeal edema involving in most cases posterior regions of the brain, as proven by magnetic resonance imaging. PRES occurred in association with severe infection, autoimmune disease, post-chemotherapy, and preeclampsia-eclampsia. Meningitis is an inflammation of the meninges. The most common causes of meningitis are viral and bacterial infections. While PRES is usually reversible, the early recognition and treatment of this syndrome is important to prevent permanent neurological disorders. The treatment is elimination of causal factors. We report a rare case of PRES after meningitis during pregnancy being treated with medical and rehabilitation treatment.

Keyword

Posterior reversible encephalopathy syndrome; Meningitis; Pregnancy

MeSH Terms

Autoimmune Diseases
Bacterial Infections
Brain
Edema
Headache
Inflammation
Magnetic Resonance Imaging
Meninges
Meningitis*
Nervous System Diseases
Posterior Leukoencephalopathy Syndrome*
Pregnancy*
Rehabilitation
Seizures
Vomiting
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