Posterior Reversible Encephalopathy Syndrome in Early Postpartum Women: A Case Report
Published: April 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4230
Vinod S Patil, B.R. Dhamangaonkar, R.C. Pattanshetti, M.M. Patil
1. Postgraduate, Department of Radiology, Shri BM Patil Medical College, Hospital and Research Centre, Bijapur, Karnataka, India.
2. Professor, Department of Radiology, Shri BM Patil Medical College, Hospital and Research Centre, Bijapur, Karnataka, India.
3. Professor and Head, Department of Radiology, Shri BM Patil Medical College, Hospital and Research Centre, Bijapur, Karnataka, India.
4. Senior Resident, Department of Radiology, Shri BM Patil Medical College, Hospital and Research Centre, Bijapur, Karnataka, India.
Correspondence
Dr. Vinod S Patil,
Post Graduate Student, Department of Radiology, BLDEU’s Shri BM Patil Medical College, Bijapur-586103, Karnataka, India.
Phone: 9844874076, E-mail: aagamachaitanya@gmail.com
Posterior reversible encephalopathy syndrome (PRES) is a rare acute neurologic condition, characterized by acute neurological symptoms. The radiological findings are predominantly seen in the posterior cerebral hemispheres and are reversible with appropriate management. We are reporting a case of a 21-year-old woman (primigravida), who presented with loss of vision, head ache and vomiting on 2nd day of post-caesarean section. Caesarean section was done due to fetal distress. On examination, patient appeared drowsy but arousable, had a blood pressure of 140/114 mmHg, rest of the examination was unremarkable. CT and MRI brain was performed to rule out cerebral venous sinus thrombosis and cortical blindness; imaging and clinical findings were suggestive of posterior reversible encephalopathy syndrome (PRES). She was treated successfully with antihypertensives and showed dramatic improvement.
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