MANAGEMENT OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME IN ICU: A CASE REPORT

Dr. Akansha Singh, Dr. Rahul Tandon*, Dr. Cliffin Mathai Kattoor and Dr. Abhinav Kumar

ABSTRACT

Acute neurological emergencies in pregnant and postpartum women presenting as headache, visual disturbances, seizures, and elevated blood pressure are usually attributed to preeclampsia and eclampsia which are considered as the most common causes of PRES. Posterior Reversible Encephalopathy Syndrome (PRES) is a clinico-radiological syndrome characterized by a headache, seizures, altered mental status and visual loss and characterized by white matter vasogenic edema affecting the posterior occipital and parietal lobes of the brain predominantly. We present here a middle aged woman with headache, generalised tonic–clonic seizures and blurring of vision in late antepartum stage. Reversibility of the symptoms and characteristic imaging findings led us to a diagnosis of PRES in our patient.

Keywords: Posterior Reversible Encephalopathy Syndrome (PRES), Preeclampsia, Generalised tonic clonic seizures.