Journal of Nobel Medical College Teaching Hospital


Vol. 12 No. 2

Posterior Reversible Encephalopathy Syndrome Associated with Late onset Eclampsia: A Case Report

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.
Published
2024-01-17
Section
Case Reports