Treatment of PRES with Eclampsia During or After Pregnancy
Posterior reversible encephalopathy syndrome (PRES) occurring alongside eclampsia during or after pregnancy is a distinct and time-sensitive clinical scenario. Diagnosis relies on characteristic clinical manifestations supported by neuroimaging findings.
Clinical Scenario
This protocol addresses posterior reversible encephalopathy syndrome in patients with eclampsia during or after pregnancy. The diagnosis is established on the basis of typical clinical manifestations and neuroimaging characteristics consistent with PRES.
Treatment Approach — partial overview
Management involves targeted agents to address severe hypertension and seizure control. The complete structured regimen — including agent selection and sequencing — is available via the full protocol below.
References
The diagnosis of PRES with eclampsia during or after pregnancy is based on typical clinical manifestations and neuroimaging characteristics.
Additional agents for severe hypertension may include intravenous hydralazine and labetalol, and for seizures, diazepam and phenytoin may be used.
DOI: 10.1056/NEJMra2114482
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