Abstract:

Pre-eclampsia complicates 5% of pregnancies globally [Berry,2016] and the risk of maternal death secondary to pre-eclampsia and eclampsia in developing country is 300 times more than a developed country [Gupte,2014].

PRES is a cliniconeuroradiologic condition, well known to arise in association with eclampsia [Hobson,2012]. It is a neurotoxic state of the brain, usually involving parieto-occipital regions occurring secondary to disruption of blood brain barrier leading to vasogenic edema that usually does not progress beyond posterior cerebral region Jin,2009. Renal injury secondary to hypertensive disorders of pregnancy is another major complication that is frequently observed. Pre-eclampsia is the most common cause of AKI in obstetrics [Berry,2016].

We report a case of a multipara, known case of pregnancy induced hypertension who presented with intrapartum eclampsia, posterior reversible encephalopathy syndrome (PRES), AKI and ascites.