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Posterior Reversible Encephalopathy Syndrome: A Rare Entity


Affiliations
1 Shri Guru Ram Dass Institute of Medical Sciences & Research, Amritsar, Punjab, India
2 Government Medical College, Amritsar, Punjab, India
 

Posterior reversible encephalopathy syndrome(PRES) is a proposed reversible cliniconeuroradiological entity characterized by headache, altered mental status, cortical blindness, seizures, focal neurological signs and a diagnostic magnetic resonance image showing multiple hyperintense signal in cortical and subcortical white matter. We report a case of 25 year female who presented 2 days postdelivery with posterior reversible encephalopathy syndrome. Early diagnosis with MRI showing bilateral parietal and occipital hyperintensities and treatment with manitol, antiepileptics and supportive measure, the syndrome was fully reversible. Clinicians as well as radiologists should be familiar with this clinically frightening, underdiagnosed condition to assure timely diagnosis and treatment to prevent persistent neurological deficits.

Keywords

Posterior Reversible Encephalopathy Syndrome, Neurological Deficit, White Matter Hyperintensities, Postdelivery, Reversible.
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  • Posterior Reversible Encephalopathy Syndrome: A Rare Entity

Abstract Views: 207  |  PDF Views: 118

Authors

Maxima Khurana
Shri Guru Ram Dass Institute of Medical Sciences & Research, Amritsar, Punjab, India
Devinder Mahajan
Shri Guru Ram Dass Institute of Medical Sciences & Research, Amritsar, Punjab, India
Manan Anand
Shri Guru Ram Dass Institute of Medical Sciences & Research, Amritsar, Punjab, India
Ajay Chhabra
Government Medical College, Amritsar, Punjab, India

Abstract


Posterior reversible encephalopathy syndrome(PRES) is a proposed reversible cliniconeuroradiological entity characterized by headache, altered mental status, cortical blindness, seizures, focal neurological signs and a diagnostic magnetic resonance image showing multiple hyperintense signal in cortical and subcortical white matter. We report a case of 25 year female who presented 2 days postdelivery with posterior reversible encephalopathy syndrome. Early diagnosis with MRI showing bilateral parietal and occipital hyperintensities and treatment with manitol, antiepileptics and supportive measure, the syndrome was fully reversible. Clinicians as well as radiologists should be familiar with this clinically frightening, underdiagnosed condition to assure timely diagnosis and treatment to prevent persistent neurological deficits.

Keywords


Posterior Reversible Encephalopathy Syndrome, Neurological Deficit, White Matter Hyperintensities, Postdelivery, Reversible.



DOI: https://doi.org/10.18311/ijmds%2F2015%2F79959