Posterior reversible encephalopathy syndrome, preeclampsia or stroke? A diagnostic dilemma.
Vikesh PatelBhavna RamachandranIfrah OmarPublished in: BMJ case reports (2019)
When a pregnant woman presents with headaches, visual disturbances, epigastric pain and nausea, preeclampsia quickly springs to mind. This case describes a primigravid 22-year-old female of 32 weeks gestation who presented with the symptoms described but was found to be apparently normotensive. Due to ongoing symptoms and diagnostic uncertainty in the absence of definitive evidence of preeclampsia, the patient was further investigated with an MRI brain scan, which was reported as either an acute stroke or an atypical presentation of posterior reversible encephalopathy syndrome. Together with blood results that showed heterozygosity for Factor V Leiden, we concluded that while the patient's clinical diagnosis was certainly preeclampsia, her investigations also supported an unexpected diagnosis of silent brain infarction. This report outlines a diagnostic dilemma that required multidisciplinary working between obstetricians, neurologists, radiologists and stroke physicians to manage the patient who went on to make a full recovery and deliver a healthy baby.
Keyphrases
- case report
- early onset
- atrial fibrillation
- pregnancy outcomes
- white matter
- primary care
- cerebral ischemia
- computed tomography
- magnetic resonance imaging
- resting state
- chronic pain
- pregnant women
- preterm infants
- neuropathic pain
- gestational age
- machine learning
- artificial intelligence
- mass spectrometry
- sleep quality
- multiple sclerosis
- rectal cancer
- preterm birth
- blood brain barrier
- high speed