Case Report

Postpartum Posterior Reversible Encephalopathy Syndrome (PRES): Three Case Reports and Literature Review

Table 2

Summary of patients’ characteristics, clinical data, and outcome.

VariableN of patients ()

Mean Maternal Age (years), range28,66 (19-47)

Comorbidity
 (i) Absence24 (51%)
 (ii) Related with development of PRES21 (45%)
 (iii) Not related with development of PRES2 (4%)

Onset
 (i) Early puerperium13 (28%)
 (ii) Late puerperium34 (72%)

Instrumental Diagnosis
 (i) CT2 (4%)
 (ii) MRI25 (54%)
 (iii) CT, MRI19 (40%)
 (iv) CT, MRI, CTA1 (2%)

Seizures
 (i) Absence8 (17%)
 (ii) Presence39 (83%)

Other symptoms
 (i) Absence2 (4%)
 (ii) Isolated headache7 (15%)
 (iii) Other neurological symptoms29 (62%)
 (iv) Association of neurological/not neurological symptoms4 (9%)

Therapy
 (i) Antiepileptic treatment9 (19%)
 (ii) Antihypertensive treatment4 (9%)
 (iii) Antiepileptic + Antihypertensive treatment23 (49%)
 (iv) Multi drug therapy10 (21%)
 (v) Multi drug therapy + Plasma Exchange1 (2%)

Mechanic Ventilation
 (i) Performed40 (85%)
 (ii) Not Performed7 (15%)

ICU admission
 (i) Necessary19 (40%)
 (ii) Unnecessary28 (60%)

Early onset complications
 (i) Absence38 (81%)
 (ii) Nervous Central System5 (11%)
 (iii) Cardio-Pulmonary System2 (4%)
 (iv) Multi-organ complications2 (4%)

Clinical outcome
 (i) Death1 (2%)
 (ii) Full remission44 (94%)
 (iii) Presence of long time complications2 (4%)
 (iv) Mean time to remission (days), range10,69 (2-45)

Time to instrumental follow up (days)
 (i) Mean time, range38,05 (5-365)

Unless otherwise specified.
CT: computed tomography, MRI: magnetic resonance imaging, and CTA: computed tomographic angiographic.