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OBSTETRIC ANESTHESIOLOGY

Posterior Reversible Encephalopathy Syndrome in a Patient with Severe Preeclampsia

From the Department of Anesthesiology, University of Utah, Salt Lake City, Utah.

Address correspondence and reprint requests to Elizabeth M. Thackeray, Department of Anesthesiology, Room 3C444, 30 North 1900 East, Salt Lake City, UT 84132. Address e-mail to Elizabeth.thackeray{at}hsc.utah.edu.

Abstract

Focal neurologic deficits in the parturient must be rapidly assessed and treated to minimize damage to both mother and child. The following case report features a patient presenting with visual loss, mental status changes, and severe preeclampsia, diagnosed as posterior reversible encephalopathy syndrome. This syndrome manifests radiographically as symmetric hypodensities of the posterior gray and white matter, and is usually reversible with prompt treatment.

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