Posterior reversible leukoencephalopathy

Posterior Leukoencephalopathy is a rare, though reversible complication of eclampsia. We report two cases, in which patients with eclampsia presented with seizures, visual disturbances and focal neurological signs with high intensity areas predominantly in parieto-occipital white matter on cranial MRI, where successful control of blood pressures led to complete resolution of neurological deficits as well as radiological abnormalities. It is an infrequently recognized neurological disorder, not known to many physicians, which has almost complete recovery with early diagnosis and treatment. The purpose of presenting this case series is to highlight the importance of early recognition and treatment of this potentially reversible disorder.