Posterior Reversible Encephalopathy Syndrome in late postpartum eclampsia

Area of Science:

• Neurology
• Radiology
• Obstetrics

Background:

• Posterior Reversible Encephalopathy Syndrome (PRES) is a neurological condition linked to various medical issues.
• PRES symptoms include seizures, headache, vomiting, altered mental status, visual changes, and focal deficits.

Observation:

• The case involves a 35-year-old pregnant woman who developed PRES post-cesarean section.
• She had a history of eclampsia, a condition that can precipitate PRES.

Findings:

• Radiological findings in PRES typically show edema in the posterior white matter of both cerebral hemispheres.
• PRES can manifest during pregnancy and postpartum, with or without eclampsia symptoms.

Implications:

• Early PRES diagnosis using MRI is vital.
• Prompt antihypertensive and anticonvulsant therapy can prevent serious complications.
• Understanding PRES in pregnancy is critical for obstetric and neurological care.