Posterior reversible encephalopathy syndrome

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Headache and recurrent convulsions. History of recent cesarean section(post partum).

Patient Data

Age: 25 years
Gender: Female

Subtle hypodense areas in parieto-occipital lobes, slightly in frontal lobes.

Bilateral symmetrical cortical and subcortical areas of altered signal intensity in parieto-occipital and frontal lobes, appear hyperintense in T2WI and FLAIR sequences, and show no restricted diffusion in DW/ADC sequences.

Case Discussion

Multi-focal symmetrical cortical, subcortical hyperintensity T2W, not restricted diffusion, in recent post partum, suggestive posterior reversible encephalopathy syndrome.

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