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Posterior reversible encephalopathy syndrome – unusual manifestation of late postpartum eclampsia
Posterior reversible encephalopathy syndrome (PRES) is a neuroradiological syndrome associated with headache, convulsions, visual disturbance and encephalopathy. Cerebral imaging of the condition is dominated by parieto-occipital white matter changes. We report a case of a 33-year-old multiparous woman with late postpartum seizures preceded by severe headache and visual disturbances. She was initially diagnosed with post-spinal headache but developed seizures. She was then diagnosed as having eclamptic fits and magnetic resonance venography revealed lesions suggestive of PRES. With prompt management the patient improved. This emphasizes the importance of early diagnosis of postpartum eclampsia to allow prompt management and prevent neurological sequelae.