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Case Report | Emergency Medicine | Volume 15 Issue 5, May 2026 | Pages: 1905 - 1907 | India
Storm After the Calm: A Case of Atypical Posterior Reversible Encephalopathy Syndrome (PRES) in a Postpartum Patient
Abstract: Background: Posterior Reversible Encephalopathy Syndrome (PRES) is a rare, potentially reversible neurological disorder characterised by headache, seizures, visual disturbances, and altered mental status. It is often associated with hypertension, eclampsia, renal failure, or immunosuppressive therapy. While PRES predominantly affects the occipital and parietal lobes, atypical cases involving the frontal lobes and basal ganglia have been reported. Case Presentation: We report a case of a 28-year-old postpartum woman who presented with multiple episodes of seizures, headache, and neck pain following lower segment caesarean section for twin delivery. After excluding pre-eclampsia and eclampsia through clinical and laboratory evaluation, further assessment including brain MRI confirmed the diagnosis of atypical posterior reversible encephalopathy syndrome (PRES), with vasogenic oedema involving the frontal, parietal, and occipital lobes along with the basal ganglia. The patient was managed conservatively with appropriate supportive care, showed rapid clinical improvement, and was discharged on day 9 with complete neurological recovery. Conclusion: In postpartum patients, even in the absence of eclampsia, this case emphasises the importance of early recognition and management of PRES. Atypical MRI findings involving the frontal, parietal, occipital lobes and basal ganglia should be considered in the diagnosis of PRES. Early intervention leads to favourable outcomes and complete recovery.
Keywords: Posterior Reversible Encephalopathy Syndrome, PRES, postpartum
How to Cite?: Dr. Dimpal Ajaykumar Tanna, Dr. Prawal Shrimal, Dr. Sakshi Yadav, Dr. Natasha Dhingra, Dr. D Bharath Kumar, Dr. Simran Kumar, "Storm After the Calm: A Case of Atypical Posterior Reversible Encephalopathy Syndrome (PRES) in a Postpartum Patient", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 1905-1907, https://www.ijsr.net/getabstract.php?paperid=SR26529024927, DOI: https://dx.dx.doi.org/10.21275/SR26529024927