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

Submitted: 3 February 2013
Accepted: 10 April 2013
Published: 17 December 2013
Abstract Views: 1137
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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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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