Posterior reversible encephalopathy syndrome (PRES)

Tariq Saeed Siddiqui, Irfan-ul-Haq, Bushra Rehman, Mhaish Kumar, Noshin Iqbal
Journal of the College of Physicians and Surgeons—Pakistan: JCPSP 2012, 22 (3): 168-70
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiologic entity. Neurotoxicity with characteristic watershed CT/MR imaging features characterize this condition. This case report describes PRES syndrome in a 35-year-old patient admitted with eclampsia. On the first postpartum day; she developed severe headache, generalized tonic-clonic seizures and visual symptoms including transient visual loss. MRI scan of the brain showed symmetric areas of hyperintense signal on T2-weighted images in the occipital lobes bilaterally. Patient improved symptomatically. Repeat MRI of the brain 4 months after initial admission showed resolution of the previous abnormalities.

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