A case of posterior reversible encephalopathy syndrome in the setting of post-partum preeclampsia with suppressed plasma aldosterone levels and plasma renin activity

  • Aurelio Negro | negro.aurelio@asmn.re.it Second Division of Internal Medicine and Hypertension Unit, Arcispedale S. Maria Nuova, Reggio Emilia, Italy.
  • Rosaria Santi Second Division of Internal Medicine and Hypertension Unit, Arcispedale S. Maria Nuova, Reggio Emilia, Italy.
  • Chiara Grasselli Second Division of Internal Medicine and Hypertension Unit, Arcispedale S. Maria Nuova, Reggio Emilia, Italy.
  • Simona Davoli Second Division of Internal Medicine and Hypertension Unit, Arcispedale S. Maria Nuova, Reggio Emilia, Italy.
  • Franco Perazzoli Second Division of Internal Medicine and Hypertension Unit, Arcispedale S. Maria Nuova, Reggio Emilia, Italy.

Abstract

Posterior reversible encephalopathy syndrome (PRES) is characterized by headache, altered mental status, visual loss, and seizures. PRES is associated with neuroradiological findings: white matter abnormalities, predominantly in the parieto-occipital regions of the brain. PRES has been described in association with hypertensive encephalopathy, eclampsia, renal failure, or following immunosuppressive or anticancer therapy. We report a case of PRES in a severe preeclampsia occurring in the late postpartum period, with suppressed plasma aldosterone levels and plasma renin activity. These laboratory abnormalities may be due to an apparent mineralocorticoid excess syndrome.

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Published
2013-12-17
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Section
Case Reports
Keywords:
preeclampsia, reversible encephalopathy, hypertension, magnetic nuclear resonance, aldosterone, plasma renin activity.
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How to Cite
Negro, A., Santi, R., Grasselli, C., Davoli, S., & Perazzoli, F. (2013). A case of posterior reversible encephalopathy syndrome in the setting of post-partum preeclampsia with suppressed plasma aldosterone levels and plasma renin activity. Italian Journal of Medicine, 7(4), 300-304. https://doi.org/10.4081/itjm.2013.300