Posterior reversible encephalopathy syndrome in preeclampsia – A prospective study

ABSTRACT

Background: Posterior reversible encephalopathy syndrome (PRES) which is a clinic-radiological manifestation sometimes also seen in PE and eclampsia. Materials and methods: 30 cases of preeclampsia or eclampsia cases that had CNS manifestations were studied with MRI before and after neurological recovery. All 100% cases had prompt and total recovery in 1-2 weeks. Results: Headache, Blurring of vision, and vomiting were the common clinical manifestations. Parieto-occipital lobes were commonest sites of cerebral involvement. Conclusion: Most patients with PRES have a suggestive combination of symptoms MRI is crucial for diagnosing, monitoring the course, and assessing treatment effectiveness. Repeated cerebral imaging helps to support the diagnosis. Early recognition and resolution of the underlying cause is the keystone of management.