Posterior Reversible Encephalopathy Syndrome in Two Patients with Severe Preeclampsia/Siddetli Preeklampsi Geciren Iki Hastada Posterior Reversible Ensefalopati Sendromu

Posterior reversible encephalopathy syndrome (PRES) is an entity that occurs due to vasogenic brain edema in predominantly posterior sections of the brain and is characterized by headache, altered mental status, vision loss or seizures. In this report, we present two women who developed PRES secondary to severe hypertension in pregnancy. Our goal is to outline the clinical features of the disease, diagnostic methods, management, and maternal outcomes. The etiology of PRES may vary in a wide range including hypertension, kidney failure, preeclampsia/ eclampsia, collagen vascular diseases, and sepsis. Prompt recognition and treatment of the syndrome after severe preeclampsia or eclampsia have major importance in order to prevent permanent damage to the brain. Keywords: Eclampsia, hypertension, preeclampsia, posterior reversible encephalopathy syndrome Posterior reversibl ensefalopati sendromu (PRES), basagrisi, mental instabilite, gorme kaybi, nobetler ile karakterize, agrirlikli olarak beynin basta oksipital lob olmak uzere posterior kisimlarini tutan vazojenik odem durumudur. Etiyoloji hipertansiyon, bobrek yetmezligi, kollajen vaskuler hastaliklar, sepsis, preeklampsi/eklampsi gibi durumlari iceren genis bir yelpazede olabilir. Beyinde kalici hasari onlemek icin erken teshis ve hizli yonetim esastir. Bu olgu bildiriminde, sezaryenden 2 gun sonra siddetli preeklampsi ve ardindan HELLP sendromuna ilerleyen bir postpartum hasta ile eklampsi geciren bir baska postpartum hastamizda gelisen PRES sendromunu ele almaktayiz. Amacimiz, PRES'nin klinik ozelliklerini, diagnostik metodlari, yonetimi ve maternal sonuclarini ortaya koymaktir. Anahtar kelimeler: Hipertansiyon, preeklampsi, eklampsi, posterior reversibl ensefalopati sendromu