Posterior reversible encephalopathy syndrome

Case contributed by Dr Sagar Shetty

Presentation

A young lady with history of one episode of convulsion.

Patient Data

Age: 35 years
Gender: Female
Modality: MRI

FLAIR sequences show abnormal patchy hyperintensity in the bilateral, parietal and occipital subcortical regions. There is no diffusion restriction. No abnormal enhancement is seen on post contrast study.

Case Discussion

The patient had a history of caesarian section 2 weeks prior and she is hypertensive.

A differential diagnosis of Posterior reversible encephalopathy syndrome (PRES) and demyelination was considered.

However, In the given clinical scenario the findings are consistent with PRES. Unfortunately a follow-up MRI could not be obtained.

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Case Information

rID: 52569
Case created: 12th Apr 2017
Last edited: 18th Apr 2017
Inclusion in quiz mode: Included

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