Sonu Shah
Department of Internal Medicine
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Bishal Raj Joshi
Department of Biochemistry
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Anil Dhakal
Department of Neuromedicine
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Umesh Karki
Department of Internal Medicine
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Bikash Surkheti
Department of Internal Medicine
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Monica Paneru
Department of Anesthesia
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Robinson Shrestha
Department of Radiology
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Sameen Khatiwada
Department of Radiology
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Dilli Ram Kafle
Department of Neuromedicine
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Tags : Eclampsia, Posterior reversible encephalopathy syndrome, Seizure
Abstract
We describe a case of 25 year old women who had full term pregnancy, presented with symptoms of headache, loss of vision and seizure episodes after 7th postpartum day. There were no findings of pre-eclampsia in antenatal stage. The diagnosis of posterior reversible encephalopathy syndrome was made after magnetic resonance imaging. Imaging findings include vasogenic edema of bilateral occipital lobe and parietal lobe. Hypertension and endothelial injury seems to be involved in pathophysiology of the syndrome. After appropriate management, the syndrome resolved. Early diagnosis and proper treatment plays a key role in management of posterior reversible encephalopathy syndrome.