Late postpartum eclampsia complicated with posterior reversible encephalopathy syndrome: a case report and a literature review

Lihong Zhang, Yacong Wang, Liang Shi, Jianhui Cao, Zhenzhong Li, Yì-Xiáng J Wáng
Quantitative Imaging in Medicine and Surgery 2015, 5 (6): 909-16
Posterior reversible encephalopathy syndrome (PRES) is a rare but serious clinical-neuroradiological entity characterized by headache, vomiting, visual disturbances, altered mental status, seizures, and unconsciousness associated with the characteristic imaging findings including sub-cortical vasogenic edema at the bilateral parietal and occipital lobes. We describe a case of 28-year-old PRES patient secondary to delayed maternal postpartum eclampsia. This patient was not initially diagnosed with pre-eclampsia and PRES. The diagnosis was established after magnetic resonance imaging. After treatment this patient's PRES resolved. Early diagnosis and treatment are the keys to reverse PRES. A literature review for PRES is provided in this report.

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