Case Report
Postpartum Posterior Reversible Encephalopathy Syndrome (PRES): Three Case Reports and Literature Review
Table 2
Summary of patients’ characteristics, clinical data, and outcome.
| Variable | N of patients () |
| Mean Maternal Age (years), range | 28,66 (19-47) |
| Comorbidity | | (i) Absence | 24 (51%) | (ii) Related with development of PRES | 21 (45%) | (iii) Not related with development of PRES | 2 (4%) |
| Onset | | (i) Early puerperium | 13 (28%) | (ii) Late puerperium | 34 (72%) |
| Instrumental Diagnosis | | (i) CT | 2 (4%) | (ii) MRI | 25 (54%) | (iii) CT, MRI | 19 (40%) | (iv) CT, MRI, CTA | 1 (2%) |
| Seizures | | (i) Absence | 8 (17%) | (ii) Presence | 39 (83%) |
| Other symptoms | | (i) Absence | 2 (4%) | (ii) Isolated headache | 7 (15%) | (iii) Other neurological symptoms | 29 (62%) | (iv) Association of neurological/not neurological symptoms | 4 (9%) |
| Therapy | | (i) Antiepileptic treatment | 9 (19%) | (ii) Antihypertensive treatment | 4 (9%) | (iii) Antiepileptic + Antihypertensive treatment | 23 (49%) | (iv) Multi drug therapy | 10 (21%) | (v) Multi drug therapy + Plasma Exchange | 1 (2%) |
| Mechanic Ventilation | | (i) Performed | 40 (85%) | (ii) Not Performed | 7 (15%) |
| ICU admission | | (i) Necessary | 19 (40%) | (ii) Unnecessary | 28 (60%) |
| Early onset complications | | (i) Absence | 38 (81%) | (ii) Nervous Central System | 5 (11%) | (iii) Cardio-Pulmonary System | 2 (4%) | (iv) Multi-organ complications | 2 (4%) |
| Clinical outcome | | (i) Death | 1 (2%) | (ii) Full remission | 44 (94%) | (iii) Presence of long time complications | 2 (4%) | (iv) Mean time to remission (days), range | 10,69 (2-45) |
| Time to instrumental follow up (days) | | (i) Mean time, range | 38,05 (5-365) |
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Unless otherwise specified. CT: computed tomography, MRI: magnetic resonance imaging, and CTA: computed tomographic angiographic. |