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Pregnancy‐Induced Hypertension Complicated by Posterior Reversible Encephalopathy Syndrome: A Case Series of Two Patients

Year: 2026

Type: article

Abstract: Posterior reversible encephalopathy syndrome (PRES) is a rare but potentially life-threatening neurological complication associated with hypertensive disorders of pregnancy. This report presents two cases of pregnancy-induced hypertension complicated by PRES, both clinically characterized by headache and visual disturbances, with characteristic neuroimaging findings. The clinical manifestations, laboratory findings, and magnetic resonance imaging (MRI) characteristics of two patients are described. Following prompt multidisciplinary consultation and immediate interventions, including strict blood pressure control, seizure prophylaxis, infection prevention, and appropriate obstetric management, both patients achieved favorable clinical outcomes. No significant neurological abnormalities were observed at the 42-day postpartum follow-up. In patients with severe pregnancy-induced hypertension, PRES warrants recognition as a potential complication; management should prioritize rigorous blood pressure control, seizure prophylaxis, alleviation of pregnancy-related physiological stress, and timely neuroimaging to guide treatment, with strategies balancing maternal and fetal safety-early recognition and intervention underpinned by standardized protocols and multidisciplinary collaboration being critical to improving prognosis and reducing complications.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.73800

Authors: Xintong Zhao, Mengqing Yan, Feixiang Long, Androniks Mumdzjans, Rongrong Song

Institutions: Bengbu Medical College, Hull University Teaching Hospitals NHS Trust

Language: English

Topic: Neurological Complications and Syndromes

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820