Occipital lobe epilepsy secondary to Posterior Reversible Encephalopathy Syndrome PRES during a post-partum eclampsia in Mali West AfricaReport as inadecuate




Occipital lobe epilepsy secondary to Posterior Reversible Encephalopathy Syndrome PRES during a post-partum eclampsia in Mali West Africa - Download this document for free, or read online. Document in PDF available to download.

BMC Research Notes

, 6:321

First Online: 13 August 2013Received: 21 January 2013Accepted: 12 August 2013DOI: 10.1186-1756-0500-6-321

Cite this article as: Youssoufa, M., Callixte, K.T. & Christian, N. BMC Res Notes 2013 6: 321. doi:10.1186-1756-0500-6-321

Abstract

BackgroundEclampsia is known to cause posterior reversible encephalopathy syndrome PRES that is often associated with an extensive neurovascular damage affecting preferably posterior regions, often leading to reversible cortical blindness. In spite the magnitude of these lesions, post eclamptic symptomatic epilepsy is rare. We therefore report a case of symptomatic occipital lobe epilepsy secondary to PRES.

Case presentationA 39-year-old female right handed teacher who presented with headache of progressive onset, phosphenes, rapid decline of visual acuity to blindness, vomiting, repeated generalized tonic-clonic seizures followed by altered consciousness and very high blood pressure HBP of 240-120 mmHg, all of which started about 12 hours following a normal delivery. Nine months later, the patient presented with paroxysmal visual symptoms predominating in the right visual field followed by partial tonic clonic seizures with secondary generalization and recurrence of partial occipital lobe seizures. The pathophysiologic mechanism of irreversible tissue damage during PRES syndrome could result from a combination of events including the delay for early treatment, inadequate antihypertensive drugs that could worsen the brain damage by hypo perfusion, inadequate or delayed treatment for seizures or status epilepticus.

ConclusionDespite its high incidence in the third world, eclampsia is not a usual cause of epilepsy. Our case is the first description of post eclamptic occipital lobe epilepsy in Africa. With this report, we draw practitioners’ attention on this rare complication.

KeywordsEclampsia PRES Occipital lobe epilepsy Mali Sub Saharan Africa Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-6-321 contains supplementary material, which is available to authorized users.

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Author: Maïga Youssoufa - Kuate Tegueu Callixte - Napon Christian

Source: https://link.springer.com/







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