Unusual presentation of PRES in the postnatal period. (9th July 2014)

• Record Type: Journal Article
• Authors: O'Kane, Miriam; Elhalwagy, Hosam; Kumar, Sathish; Badawi, Claire
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-07-09
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-203406
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological entity, associated with a vast array of medical conditions and a variety of presenting symptoms. There is a characteristic pattern of radiographic features alongside suggestive clinical manifestations, which lead to a diagnosis of PRES. This report describes the case of a 39 years old, previously normotensive woman, who presented on day 7 postpartum with generalised tonic clonic seizures, reduced conscious level and a history of blurred vision and headache. She was treated immediately as eclamptic and transferred to the intensive care unit for stabilisation. Following an inconclusive CT result, an MRI was performed 2 days after presentation, which demonstrated white matter changes consistent with those found in PRES. She made a full recovery and a repeat MRI scan 7 weeks later showed no progression of the lesions noted on the original scan.