A Case Report on PRES and HELLP Syndrome in 08 Months Amoneherric Women

Abstract

Posterior Reversible Encephalopathy Syndrome (PRES), in 1996 was originally described by Hinchey. It is also so-called as reversible posterior leukoencephalopathy syndrome, an illness in which a person present’s with acutely altered mentation, visual impairment, drowsiness or sometimes stupor, seizures (focal or general tonic-clonic), and sudden or constant, non-localized headaches, and nausea and vomiting. If recognized promptly and treated, the clinical syndrome generally resolves within a week, and the variations seen in magnetic resonance imaging (MRI) resolve over days to weeks. The syndrome of hemolysis, elevated liver enzymes, and low platelets, is referred to as HELLP syndrome, has historically been classified as a complication or progression of severe preeclampsia. An ischemic-reperfusion injury initiates the liver damage in HELLP syndrome. The clinical presentation may vary from patient to patient with HELLP syndrome, and may present with colicky mid-epigastric and/or right upper quadrant pain associated with fatigue, nausea and vomiting. An appropriate physical examination must be conducted if any of the above complications are suspected.