A case of recurrent posterior reversible encephalopathy syndrome

Abstract

A case of recurrent posterior reversible encephalopathy syndrome A.A. Rouzi 1 , R. Alamoudi 1 , S. Kafy 1 , L. Ashkar 2 Summary Purpose: To report a case of recurrent posterior reversible encephalopathy syndrome (PRES) after post-partum eclampsia. Case Report: A 22-year-old woman, para 3+0, presented with headaches, decrease level of consciousness, and convulsions after home delivery. Her second delivery was an emergency cesarean section due to eclampsia with PRES at 30 weeks of gestation. On examination she was unconscious with blood pressure of 220/120. She was intubated and transferred to the intensive care unit. Computer tomography scans confirmed the diagnosis of recurrent PRES. She recovered completely with supportive treatment and was discharged home one week after admission. Conclusion: Posterior reversible encephalopathy syndrome may recur in a subsequent pregnancy. Key words: Posterior reversible encephalopathy syndrome; Recurrence.