A Case of Posterior Reversible Encephalopathy Syndrome in Postpartum Female with Status Epilepticus

Vamsee Vuduta; Nischitha Anil; Sai Rakesh Vadlamudi; Vijay M Bengalorkar

doi:10.5005/jp-journals-10045-00230

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A Case of Posterior Reversible Encephalopathy Syndrome in Postpartum Female with Status Epilepticus

Vamsee Vuduta, Nischitha Anil, Sai Rakesh Vadlamudi, Vijay M Bengalorkar

Keywords : Autoimmune diseases,Magnetic resonance imaging,Posterior reversible encephalopathy syndrome,Postpartum

DOI: 10.5005/jp-journals-10045-00230

License: CC BY-NC 4.0

Published Online: 08-05-2023

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Abstract

Posterior reversible encephalopathy syndrome (PRES) is a rare condition in which some parts of the brain are affected by tissue edema. The highly elevated blood pressure (BP) by itself may result in PRES. We also find underlying disease conditions with high BP presenting as PRES. The features of PRES are headache, altered vision, and seizures. Patients with this disorder may develop neurological symptoms like confusion or paresis of the upper and lower limbs or, at times, both. The causes of PRES have severely elevated BP, infections, preeclampsia, certain drugs, or autoimmune diseases. Imaging studies help in the diagnosis of PRES. Magnetic resonance imaging (MRI) brain scan may show gyral hyper-intensity in the posterior aspect of the bilateral parietal lobes without diffusion restriction. Treatment of PRES includes treatment of the etiology and the underlying complications. Here we present a case of PRES in a postpartum female patient of day 10.

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Harrison's textbook of internal medicine Vol.2 20th edition.
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