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Case Reports in Anesthesiology
Volume 2012 (2012), Article ID 745939, 5 pages
http://dx.doi.org/10.1155/2012/745939
Case Report

Anesthesia and Intensive Care Management in a Pregnant Woman with PRES: A Case Report

1Department of Anaesthesiology and Reanimation, Faculty of Medicine, Firat University, 23119 Elazig, Turkey
2Department of Obstetrics and Gynecology, Faculty of Medicine, Firat University, 2311 Elazig, Turkey

Received 28 March 2012; Accepted 21 June 2012

Academic Editors: D. A. Story and E. A. Vandermeersch

Copyright © 2012 Ismail Demirel et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a temporary condition that is diagnosed clinically, neurologically, and radiologically. Its symptoms vary, and nonspecific headaches, confusion, impairment of consciousness, nausea, vomiting, and visual impairment may occur. Acute hypertension often accompanies these symptoms. Patients can also suffer from convulsions, cortical visual impairment, and coma. Diagnosis can be difficult due to focal neurologic signs. Nevertheless, knowing the clinical risk factors can lead to the right diagnosis. It has been reported that this condition may also occur during organ transplantation, immunosuppressive treatment, and autoimmune diseases and chemotherapy, and also patients with eclampsia. In this paper, a 21-year-old, 31-week pregnant woman, who had been diagnosed with PRES and thanks to early diagnosis and treatment had fully recovered and discharged from the intensive care unit, is presented, and the relevant literature is discussed.