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CASE REPORT
Unusual presentation of PRES in the postnatal period
  1. Miriam O'Kane,
  2. Hosam Elhalwagy,
  3. Sathish Kumar,
  4. Claire Badawi
  1. Department of O&G, Conquest Hospital, St Leonards-on-Sea, UK
  1. Correspondence to Dr Miriam O'Kane, mimokane{at}doctors.org.uk

Summary

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.

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