Posterior Reversible Encephalopathy Syndrome Associated with Late onset Eclampsia: A Case Report

Authors

  • Sonu Shah Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Nepal https://orcid.org/0009-0009-1418-2590
  • Bishal Raj Joshi Department of Biochemistry, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Anil Dhakal Department of Neuromedicine, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Umesh Karki Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Bikash Surkheti Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Monica Paneru Department of Anesthesia, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Robinson Shrestha Department of Radiology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Sameen Khatiwada Department of Radiology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Dilli Ram Kafle Department of Neuromedicine, Nobel Medical College Teaching Hospital, Biratnagar, Nepal

DOI:

https://doi.org/10.3126/jonmc.v12i2.61519

Keywords:

Eclampsia, Posterior reversible encephalopathy syndrome, Seizure

Abstract

We describe a case of 25 year old women who had full term pregnancy, presented with symptoms of headache, loss of vision and seizure episodes after 7th postpartum day. There were no findings of pre-eclampsia in antenatal stage. The diagnosis of posterior reversible encephalopathy syndrome was made after magnetic resonance imaging. Imaging findings include vasogenic edema of bilateral occipital lobe and parietal lobe. Hypertension and endothelial injury seems to be involved in pathophysiology of the syndrome. After appropriate management, the syndrome resolved. Early diagnosis and proper treatment plays a key role in management of posterior reversible encephalopathy syndrome.

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Author Biography

Sonu Shah, Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Nepal

Medical officer

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Published

2023-12-31

How to Cite

Shah, S., Joshi, B. R., Dhakal, A., Karki, U., Surkheti, B., Paneru, M., Shrestha, R., Khatiwada, S., & Kafle, D. R. (2023). Posterior Reversible Encephalopathy Syndrome Associated with Late onset Eclampsia: A Case Report. Journal of Nobel Medical College, 12(2), 115–118. https://doi.org/10.3126/jonmc.v12i2.61519

Issue

Section

Case Reports