Abstract :
Introduction: Postpartum convulsion is still a challenging problem due to its numerous aetiologies. Posterior reversible encephalopathy syndrome (PRES) is one of them. It happens to be a diagnostic and therapeutic challenge when it founds in eclampsia and pre-eclampsia patients.
Case report: Here we are presenting a case report of PRES in a 20 year old primigravida with severe pre-eclampsia with 36 weeks of pregnancy, and sharing our experience in diagnosing and treatment of this rare entity.
Conclusion: Convulsion developing in post-partum period is not always eclampsia. Surgeons and physicians should be aware of this entity. With encouraging result of the presented case, we propose early clinicoradiological diagnosis with contrast MRI and prompt management in the form of timely control of blood pressure and seizures can prevent devastating complications and permanent neurologic damage.
Keyword :
Eclampsia, MRI, PRES.