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Title: |
Posterior Reversible Encephalopathy with Late Postpartum Eclampsia and Short-Term Memory Loss: A Case Report | |||||||||||||||||||
| Authors: | Martin L. Gimovsky, M.D., Guillermo M. Guzman, M.D., Karen L. Koscica, D.O., Munir A. Nazir, M.D., and Diane E. Ross, M.D. | |||||||||||||||||||
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BACKGROUND: Late postpartum eclampsia is more frequently recognized than past reports indicate. This report describes the association of a reversible encephalopathy in a woman with late postpartum eclampsia. CASE: A woman with lupus nephritis presented 7 days postpartum with eclampsia. Postseizure findings included dramatic short-term memory loss. Although a computed tomography scan was negative, subsequent magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated vascular changes associated with a reversible encephalopathy. Conservative treatment with analeptic and antihypertensive therapy allowed a rapid resolution of all symptomatology. CONCLUSION: In women with eclampsia and unusual neurologic findings, an MRI/MRA may be useful even in the presence of a negative computed tomography scan. (J Reprod Med 2010;55:71–74) |
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| Keywords: | eclampsia, encephalopathy, memory loss, postpartum | |||||||||||||||||||
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