Posterior reversible encephalopathy syndrome: a rare case with delayed reverse

Authors

  • Ahmed Tanjimul Islam Medical Officer of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh
  • Md Kafil Uddin Associate Professor of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh
  • Md Ahmed Ali Associate Professor of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh
  • Pijush Kumar Kundu Associate Professor of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh
  • Md Munzur Alahi Assistant Professor of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh
  • Md Parvez Amin Assistant Professor of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh
  • Mukul Kumar Sarkar Assistant Professor of Neurology, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh

DOI:

https://doi.org/10.3329/birdem.v9i3.43091

Keywords:

Posterior reversible encephalopathy syndrome, vasogenic edema,delayed recovery.

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a reversible phenomenon diagnosed with both clinical and radiological criteria. We present anatypical case of PRES with unusual delayed reversal. A 29-year-old female presented withseizure and altered consciousness during post-partum periods. The initial computed tomographyscan of brain was normal. But subsequent magnetic resonance imaging of brain showed hyperintense lesion in rightparieto-occipital region. After 7 weeks of multidisciplinary team effort, the patient recovered both clinically and radiologically. High index of suspicion with long term follow up is crucial for this curable and reversible syndrome. Because of rarity in delayed recovery, this case of PRES is reported.

Birdem Med J 2019; 9(3): 248-250

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Published

2019-09-11

How to Cite

Islam, A. T., Uddin, M. K., Ali, M. A., Kundu, P. K., Alahi, M. M., Amin, M. P., & Sarkar, M. K. (2019). Posterior reversible encephalopathy syndrome: a rare case with delayed reverse. BIRDEM Medical Journal, 9(3), 248–250. https://doi.org/10.3329/birdem.v9i3.43091

Issue

Section

Case Reports