• A&A practice · Nov 2023

    Case Reports

    Posterior Reversible Encephalopathy Syndrome and Eclampsia in the Setting of Magnesium Toxicity: A Case Report.

    • Ariella T Lee, Justin C Cordova, Robert P Jamplis, and Gregory R Pomicter.
    • From the Uniformed Services University of the Health Sciences School of Medicine, Bethesda, Maryland.
    • A A Pract. 2023 Nov 1; 17 (11): e01726e01726.

    AbstractPosterior reversible encephalopathy syndrome (PRES) is a rare neurologic condition and a feared complication of eclampsia. It is evidenced by acute neurologic dysfunction secondary to cerebral edema and is typically reversible in nature. Although it is a relatively new diagnosis, an increasing amount of literature has described its occurrence, including an association with hypomagnesemia. We present a case wherein a 24-year-old parturient developed PRES and eclampsia in the setting of symptomatic hypermagnesemia, requiring management with lorazepam after seizures developed. Here we detail her clinical course, including the unique challenges of treating eclampsia and PRES in the setting of magnesium toxicity.Copyright © 2023 International Anesthesia Research Society.

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