Department of Gynecology and Obstetrics, Faculty of Medicine, Abdelmalek Essaadi University Hospital, Tangier, Morocco.
Pan Afr Med J. 2023 Feb 3;44:68. doi: 10.11604/pamj.2023.44.68.34253. eCollection 2023.
Posterior reversible encephalopathy syndrome (PRES) is a neurological complication frequently found during brain exploration for severe preeclampsia when it is associated with neurological signs. Being a newly discovered entity, its mechanism of genesis is still based on a hypothesis not yet confirmed. The clinical case that we report highlights an atypical PRES syndrome occurring in postpartum without any signs of preeclampsia. The patient had suffered a state of convulsive dysfunction after delivery without hypertension and the diagnosis of PRES syndrome was confirmed based on the results of the brain computed tomography (CT) scan, she showed signs of clinical improvement on the fifth day of postpartum. Our case report calls into question the association between PRES syndrome and preeclampsia that we find in literature and puts a big question mark on the causal link between the two in pregnant women.
后部可逆性脑病综合征（PRES）是一种神经系统并发症，在严重先兆子痫进行脑部探查时，如果伴有神经系统症状，通常会发现该并发症。作为一种新发现的病症，其发病机制仍基于尚未得到证实的假说。我们报告的临床病例突出了一种非典型的产后 PRES 综合征，没有任何先兆子痫的迹象。患者在分娩后出现了癫痫功能障碍，没有高血压，根据脑部计算机断层扫描（CT）的结果，诊断为 PRES 综合征，她在产后第五天表现出临床改善的迹象。我们的病例报告对文献中 PRES 综合征与子痫前期之间的关联提出了质疑，并对孕妇中两者之间的因果关系打上了一个大大的问号。
