Abstract:

Reversible posterior leukoencephalopathy syndrome is a relatively rare pregnancy complication in obstetrics. Its occurrence is associated with HELLP syndrome and eclampsia characterized by hemolysis, elevated liver enzymes and reduced platelet count. It is reported that a case of severe pre-eclampsia was admitted to hospital. Due to poor control of blood pressure, a pregnant woman developed dizziness, convulsions and other neurological symptoms after cesarean delivery for epigastric pain. Auxiliary examination suggesting thrombocytopenia, elevated glutamic pyruvic transaminase, glutamic oxaloacetic transaminase and lactate dehydrogenase increased, and multiple cerebral infarction foci. The patient was discharged after timely treatment. Through the diagnosis and treatment of this case, we can summarize the experience and lessons, in order to improve clinicians′ understanding of postpartum HELLP syndrome and reversible posterior leukoencephalopathy syndrome.

Key words: HELLP syndrome, Eclampsia, Posterior leukoencephalopathy syndrome, Diagnosis, Therapy, Case reports