Posterior reversible encephalopathy syndrome – Case report

Introduction. Posterior reversible encephalopathy syndrome (PRES) is a group of clinical disorders typically manifested by the presence of seizures, headache, impaired consciousness, nausea and focal neurological deficits. It is stated that PRES is a result of high blood pressure which leads to impaired self-regulation and hyperperfusion causing endothelial damage and vasogenic oedema or that excessive arteriolar vasoconstriction causes reduced blood flow, thus causing ischemia and cytotoxic oedema. Case Report. A 21-year-old woman was admitted to obstetrics & gynaecology department with symptoms of eclampsia. CT of the head revelaed a holohemispheric watershed pattern. MRI confirmed the presence of vasogenicoedema in the affected regions, typical for PRES. C-section was performed. Ten days after administering treatment, MRI showed complete withdrawal of the lesions. The diagnosis of PRES was based on clinical symptoms and MRI, with typical cortical and subcortical oedema without infarction.