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PRES and Epilepsy: A Potential Long-Term Consequence of a "Reversible" Syndrome
Ryan T Fitzgerald1, Jarod Santoro, Archana Hinduja
1Departments of *Radiology ‡Neurology †College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR §Department of Neurology, Ohio State University, Columbus, OH.
Abstract:
Epilepsy is very rarely attributed to posterior reversible encephalopathy syndrome (PRES). We report the case of a previously healthy 21-year-old who developed epilepsy with mesial temporal sclerosis following an episode of PRES related to a complicated Cesarean delivery. Neuroimaging at the time of PRES and 3 months after revealed the development of unilateral hippocampal volume loss following resolution of acute PRES-related brain edema. We discuss the incidence and importance of "non-reversible" sequelae of PRES and their implications for patient care.
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