Department of Anaesthesiology, Pune, India
Dr. Madhu is currently working as Professor in Department of Anesthesiology, BJGMC & SG Hospitals, Pune, India and has authored and co-authored several national and international publications. Dr. Madhu has major research interest chemotherapy and surgery.
Case Report
Atypical Posterior Reversible Encephalopathy Syndrome (PRES) in Eclampsia in Primigravida with Twin Pregnancy: A Case Report
Author(s): Surekha S Chavan, Madhu A Chavan*, Priyanka Gedam, Ishaa Pradhan, Stefen Jebaraj and Priya Chavre
“Posterior Reversible Encephalopathy Syndrome” (PRES) is a clinico-neuroradiological syndrome of heterogeneous
etiologies. The syndrome is characterized by headache, visual disturbances, altered consciousness, seizure disorder,
focal neurological signs, lethargy, nausea/vomiting. When areas of brain other than parieto-occipital region are
predominantly involved, the syndrome is called atypical PRES, which is a rare clinical entity. The global incidence of
PRES is unknown, but high in patients with eclampsia. PRES is a reversible condition but can be fatal. Delay in
diagnosis and treatment can lead to cerebral ischemia or haemorrhage leading to permanent neurological damage.
Magnetic Resonance Imaging (MRI) remains gold standard for diagnosis. Here we report anaesthesia management of
emergency caesarean delivery of twins in primigravida woman with Atypi.. View more»