Posterior Reversible Encephalopathy Syndrome in an Eclamptic Adolescent: A Case Report

Posterior reversible encephalopathy syndrome (PRES) is a neurological condition with diverse etiologies, characterized by transient changes in brain imaging and patient behavior. In this case report, a 13-year-old patient in labor developed eclampsia; hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome; and ultimately, PRES. PRES is relatively uncommon in adolescents and was likely triggered by the extreme hypertensive stress experienced by this patient. Prompt identification and treatment with antihypertensive and anti-seizure medications led to a relatively rapid resolution of the patient's postictal, minimally responsive state. Early recognition and management of PRES, particularly in adolescents, are crucial to reducing the risk of long-term complications. Although the long-term outcomes of PRES are not well understood, further research is needed to explore its potential impacts, especially in adolescent populations.