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Journal of Case Reports
Eclampsia with Posterior Reversible Encephalopathy Syndrome
Kyawzaw Lin1, Aung Naing Lin1, Sithu Lin1, Thinzar Lin1, Khin Myint1, Jose Cabassa2
Departments of 1Internal Medicine and 2Neurology, The Brooklyn Hospital Center, Affiliate of the Mount Sinai Hospital, 121, Dekalb Avenue, Brooklyn, NY 11201.
Corresponding Author:
Dr. Kyawzaw Lin
Email: dr.kyawzawlin2015@gmail.com
Received: 19-OCT-2017 Accepted: 10-JAN-2018 Published Online: 25-JAN-2018
DOI: http://dx.doi.org/10.17659/01.2018.0007
Background: The posterior reversible encephalopathy syndrome (PRES) or reversible posterior leukoencephalopathy syndrome (RPLS) includes headache, visual disturbance, and seizure, altered mental status with or without focal neurological signs. Here, we present a 24 year old postpartum female with PRES in the setting of post-partum eclampsia with cortical blindness and seizure. Case Report: A 24 year old African American female presented with severe, constant, throbbing, bilateral occipital headache nine days after normal spontaneous vaginal delivery followed by blurred vision for two days.  It was complicated by generalized tonic-clonic witnessed seizure. Magnetic Resonance Imaging (brain) showed findings consistent with posterior reversible encephalopathy syndrome. The patient was successfully managed with intravenous labetolol and magnesium sulfate for eclampsia in intensive care unit. Conclusion: Focussed clinical approach, early detection of significant neuroimaging findings upon presentation, timely aggressive treatment and cessation of causal agents are crucial for satisfactory recovery and outcomes. This syndrome is overlooked by the physicians and usually radiologists are the saviors for timely diagnosis for PRES. 
Keywords : Eclampsia, Magnetic Resonance Imaging, Posterior Leukoencephalopathy Syndrome, Pregnancy, Seizures.
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