EC Neurology

Posterior reversible encephalopathy (RPE) is a radioclinical entity associating reversible damage to the central nervous system with typical brain imaging. There is great variability in the clinical presentation of this syndrome and sometimes atypical imaging aspects. RPE is an unusual neurological complication occurring during pregnancy or postpartum, apart from any pre-existing pathology of pregnancy, in which vasogenic edema by rupture of the blood-brain barrier appears to be the main actor. We bring back the observation of a primiparous patient presenting generalized tonic-clonic convulsive seizures associated with a hypertensive peak, occurring during the third trimester of pregnancy. Brain CT (CT) was in favor of reversible posterior encephalopathy. The RPE must be evoked before any sign of neurological call, given the favorable evolution without sequelae under early and rapid treatment. We report the case of a patient admitted to intensive care for PRES syndrome diagnosed on CT with good clinical outcome.

Keywords: Posterior Reversible Encephalopathy (RPE); Pre-Eclampsia; Eclampsia; Hypertension; Blood Transfusion

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