Expect the unexpected: A rare presentation of posterior reversible encephalopathy syndrome in late post-partum period

Abstract

Posterior reversible encephalopathy syndrome (PRES) is an acute neurotoxic Syndrome characterized by a headache, seizures, altered mental status and visual loss and characterized by white matter vasogenic edema affecting the posterior occipital and parietal lobes of the brain predominantly. PRES is reversible when recognized early and treated promptly by treating the underlying causative factor. Common triggering factors of PRES include blood pressure fluctuations, preeclampsia/eclampsia, renal failure, cytotoxic agents, and autoimmune conditions. Here we present a case of young woman who presented with headache, generalized tonic-colonic seizures and cortical blindness in the late postpartum stage without any significant prior history in antenatal and postoperative period. Timely intervention, prompt management and diagnosis resulted in complete subsidence of symptoms pointing towards the reversible nature of the disease.