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  • Title: Posterior reversible encephalopathy with late postpartum eclampsia and short-term memory loss: a case report.
    Author: Gimovsky ML, Guzman GM, Koscica KL, Nazir MA, Ross DE.
    Journal: J Reprod Med; 2010; 55(1-2):71-4. PubMed ID: 20337212.
    Abstract:
    BACKGROUND: Late postpartum eclampsia is more frequently recognized than past reports indicate. This report describes the association of a reversible encephalopathy in a woman with late postpartum eclampsia. CASE: A woman with lupus nephritis presented 7 days postpartum with eclampsia. Postseizure findings included dramatic short-term memory loss. Although a computed tomography scan was negative, subsequent magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated vascular changes associated with a reversible encephalopathy. Conservative treatment with analeptic and antihypertensive therapy allowed a rapid resolution of all symptomatology. CONCLUSION: In women with eclampsia and unusual neurologic findings, an MRI/MRA may be useful even in the presence of a negative computed tomography scan.
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