[Posterior reversible encephalopathy syndrome: a case report].

Area of Science:

• Neurology
• Radiology
• Obstetrics

Background:

• Posterior reversible encephalopathy syndrome (PRES) is a neurological condition characterized by reversible central nervous system involvement and specific brain imaging findings.
• PRES can present with diverse clinical symptoms and atypical imaging features, making diagnosis challenging.
• It is an uncommon neurological complication during pregnancy or postpartum, distinct from other pregnancy-related pathologies.

Observation:

• This report details a case of a primiparous patient experiencing generalized tonic-clonic seizures and a hypertensive peak during the third trimester of pregnancy.
• Brain Magnetic Resonance Imaging (MRI) confirmed the presence of posterior reversible encephalopathy.
• The primary suspected cause is vasogenic edema resulting from blood-brain barrier disruption.

Findings:

• The patient presented with seizures and hypertension, consistent with PRES.
• MRI findings supported the diagnosis of posterior reversible encephalopathy.
• The condition was managed effectively, leading to a positive outcome.

Implications:

• PRES should be considered in pregnant or postpartum patients presenting with neurological symptoms, particularly seizures and hypertension.
• Prompt recognition and intervention are vital for managing PRES.
• Early and rapid treatment of PRES is associated with a favorable prognosis and prevents long-term neurological sequelae.