Table 2 Summary of PRES in pregnancy in the last 5-year literature
Authors, year, country | Maternal age | Gravida, Parity | GA | History of disease | Symptoms | Diagnosis on MRI/CT scan | Timepoint of onset | Interventions | Treatment time | Recovery time | Outcomes |
|---|---|---|---|---|---|---|---|---|---|---|---|
Marcoccia et al., 2019, Italia [3] | 21 yo | Primigravida. | 39w. | Healthy. | Hypertension, severe headache and generalized tonic-clonic seizure, alertness, mydriasis, and decrease in visual acuity, bilateral blindness. | Bioccipital foci of high signal intensity involving the cortex and subcortical white matter with normal DWI. | On the first day after CS for breech presentation. | -Antiepileptic + Antihypertensive treatment -Mannitol | In 24 h. | On day postoperative 10. | No ophthalmological and neurological permanent damage persisted after 1-year follow-up. |
29 yo | Primigravida. | 40w3d. | Healthy. | Severe headache, hypertension and a generalized tonic-clonic seizure. | Cerebellar and occipital foci of high signal intensity involving the cortex and subcortical white matter with normal DWI. | Early puerperium. | Phenytoin urapidil and alfametildopa. | In postpartum day 7. | - | Alive. | |
43 yo | G1P0. | 37 w. | -Gestational hypertension. -Gilbert’s syndrome. | -Headaches. -Severe epigastric pain. -Generalized tonic-clonic seizure. | Cortical and subcortical hyperintense lesions in both cerebellar lobes with elevated diffusion and no angiopathy. | Five hours after delivery. | -Diazepam. -MgSO4. | In 24 h after the onset. | 20th day after delivery. | Total recovery. | |
Zhang et al., 2022, China [19] | 32 yo | Primigravida. | 25w4d. | Healthy. | Intermittent headache, hearing loss, memory loss mental and behavioral disorder, and blurred vision for 1 month. | Diffuse symmetrical high-signal intensity lesions in the white matter, medulla oblongata, without enhancement. | Second trimester. | -Treatment with mannitol, dexamethasone (10Â mg/d), and low molecular. -Termination of pregnancy by CS. | On the day of admission. | Complete recovery at postoperative 6 months. | Alive without any neurological sequelae. |
Katwall et al., 2023, Nepal [18] | 30 yo | G3P2. | 38w. | Gestational hypertension. | Sudden headache. | Bilateral frontoparietal white matter edema, consistent with PRES. | After vaginal delivery with IOL 1st day of postpartum. | -Analgesics. -Close monitoring. | In 24Â h. | Within a week. | Recovery. |
Our indexed report | 31 yo | G3P2. | 29 w 5 d. | None. | -Blurred vision. -Mental disorders. | Â | After the first day of CS. | Antiepileptic. | In 24Â h after onset. | After 5 days. | Alive Recovery without sequelae. |