PRES and Epilepsy: A Potential Long-Term Consequence of a "Reversible" Syndrome. Issue 2 (March 2017)

• Record Type: Journal Article
• Authors: Fitzgerald, Ryan T.; Santoro, Jarod; Hinduja, Archana; Samant, Rohan S.; Kumar, Manoj; Angtuaco, Edgardo J.
• Is Part Of: Neurologist. Volume 22:Issue 2(2017)
• Publication Date: 2017-03
• Subjects: PRES -- posterior reversible encephalopathy syndrome -- epilepsy -- seizure -- cerebellum -- mesial temporal sclerosis; Nervous System Diseases -- Periodicals; Nervous system -- Diseases -- Periodicals; Neurologie; 616.8
• DOI: 10.1097/NRL.0000000000000103
• Languages: English
• ISSNs: 1074-7931

Abstract

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.