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Neurological picture
Reversible eclamptic leucoencephalopathy syndrome with severe brainstem involvement without neurological signs
  1. G Neumann1,
  2. B Schlüter2,
  3. D Hornung2,
  4. S Gottschalk3,
  5. A Moser1
  1. 1Department of Neurology, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
  2. 2Department of Obstetrics and Gynecology, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
  3. 3Department of Neuroradiology, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany
  1. Correspondence to Dr Gunnar Neumann, Department of Neurology, University of Lübeck, Ratzeburger Allee 160, Lübeck D-23538, Germany; gunnar.neumann{at}neuro.uni-luebeck.de

https://doi.org/10.1136/jnnp.2009.196899

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    Eclampsia is defined as one or more generalised convulsions in the setting of pre-eclampsia. Only 0.5% of pre-eclamptic woman develop eclampsia, and about 15–30% of cases occur after delivery.1 2 A single case of reversible cerebral oedema with brainstem involvement in an eclamptic woman has been reported with transient gaze-evoked nystagmus.3 Other cases of reversible brainstem oedema in various medical conditions did not include eclampsia.4 5 In these cases, posterior white matter was not spared as in our case, and so we see this reversible eclamptic leucoencephalopathy syndrome separate from ‘classic’ reversible posterior leucoencephalopathy syndrome. With this case, we present for the first time …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; not externally peer reviewed.