Posterior reversible encephalopathy syndrome in postpartum. Case study

Abstract

The objective of this trial is to evaluate the postpartum reversible posterior encephalopathy syndrome in a 22-year-old patient, with no personal pathological history, gynecologic and obstetric history G(1), C(1), A(0), P (0). Surgical history, segmental cesarean section at 39 weeks of gestation that is referred due to presenting a clinical picture 24 hours after the segmental cesarean section with abdominal pain, vomiting and abdominal distension, for which she underwent surgery where resection was performed. -lapartomias for damage control. She is admitted to the intensive care unit with ventilatory support and without vasopressor support. Angioresonance was performed, showing, in s3DI MC sequence, the anterior cerebral arteries, middle cerebral arteries, posterior communicating arteries, anterior communicating artery and the P1, P2 segment of the bilateral posterior cerebral artery with preserved trajectory diameters were identified. However, the decrease in the diameter of the cortical arteries of the posterior cerebral arteries in the bilateral P3 segment is striking. It is concluded that knowledge of the PRES must be extensive and widely disseminated, so that all actors related to maternal health care identify the condition early and in a timely manner, reduce maternal morbidity and mortality, and long-term neurological sequelae.