Posterior reversible encephalopathy syndrome

Posterior reversible encephalopathy is a relatively newly recognized disorder, which presents as a complication of pregnancy induced hypertension. Its usual presentation is blurred vision, headache, seizures and disturbance of consciousness. A 20-year-old primigravida presented with seizures, headac...

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Main Authors: Sumana J Kamath, Priyansha Multani, Madhurima A Nayak
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:http://www.jcor.in/article.asp?issn=2320-3897;year=2014;volume=2;issue=2;spage=111;epage=112;aulast=Kamath
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author Sumana J Kamath
Priyansha Multani
Madhurima A Nayak
author_facet Sumana J Kamath
Priyansha Multani
Madhurima A Nayak
author_sort Sumana J Kamath
collection DOAJ
description Posterior reversible encephalopathy is a relatively newly recognized disorder, which presents as a complication of pregnancy induced hypertension. Its usual presentation is blurred vision, headache, seizures and disturbance of consciousness. A 20-year-old primigravida presented with seizures, headache and loss of vision in both eyes. She was drowsy and blood pressure was 120/100 mm Hg. Ocular examination was fairly normal, except that her vision was a perception of light and fundus showed early papilledema. She was started on antihypertensives and anticonvulsants. The pregnancy was terminated. A magnetic resonance imaging revealed hyperintense areas in bilateral posterior occipitoparietal regions in T2 weighted images suggestive of posterior reversible encephalopathy syndrome (PRES). She had an improvement of vision starting from the very next day of the presentation. Treatment of this condition involves recognition of the offending factor and its removal. PRES is clinico-neuroradiological diagnosis and its knowledge can help prompt reversal and relief of anxiety to the patient.
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spelling doaj.art-2214ca0a337e4062a1721c8d3d4ced2b2022-12-22T02:48:20ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972014-01-012211111210.4103/2320-3897.130545Posterior reversible encephalopathy syndromeSumana J KamathPriyansha MultaniMadhurima A NayakPosterior reversible encephalopathy is a relatively newly recognized disorder, which presents as a complication of pregnancy induced hypertension. Its usual presentation is blurred vision, headache, seizures and disturbance of consciousness. A 20-year-old primigravida presented with seizures, headache and loss of vision in both eyes. She was drowsy and blood pressure was 120/100 mm Hg. Ocular examination was fairly normal, except that her vision was a perception of light and fundus showed early papilledema. She was started on antihypertensives and anticonvulsants. The pregnancy was terminated. A magnetic resonance imaging revealed hyperintense areas in bilateral posterior occipitoparietal regions in T2 weighted images suggestive of posterior reversible encephalopathy syndrome (PRES). She had an improvement of vision starting from the very next day of the presentation. Treatment of this condition involves recognition of the offending factor and its removal. PRES is clinico-neuroradiological diagnosis and its knowledge can help prompt reversal and relief of anxiety to the patient.http://www.jcor.in/article.asp?issn=2320-3897;year=2014;volume=2;issue=2;spage=111;epage=112;aulast=KamathPareito occipital cortexpreeclampsiareversible encephalopathy
spellingShingle Sumana J Kamath
Priyansha Multani
Madhurima A Nayak
Posterior reversible encephalopathy syndrome
Journal of Clinical Ophthalmology and Research
Pareito occipital cortex
preeclampsia
reversible encephalopathy
title Posterior reversible encephalopathy syndrome
title_full Posterior reversible encephalopathy syndrome
title_fullStr Posterior reversible encephalopathy syndrome
title_full_unstemmed Posterior reversible encephalopathy syndrome
title_short Posterior reversible encephalopathy syndrome
title_sort posterior reversible encephalopathy syndrome
topic Pareito occipital cortex
preeclampsia
reversible encephalopathy
url http://www.jcor.in/article.asp?issn=2320-3897;year=2014;volume=2;issue=2;spage=111;epage=112;aulast=Kamath
work_keys_str_mv AT sumanajkamath posteriorreversibleencephalopathysyndrome
AT priyanshamultani posteriorreversibleencephalopathysyndrome
AT madhurimaanayak posteriorreversibleencephalopathysyndrome