A 7 Month Pregnant Female Presented with Posterior Reversible Encephalopathy Syndrome without Eclampsia and Hypertension: a Case Report

A 7 MONTH PREGNANT FEMALE PRESENTED WITH POSTRIOR REVERSIBLE ENCEPHALOPATHY SYNDROME WITH OUT HYPERTENSION AND ECLAMPSIA Introduction: Posterior reversible encephalopathy syndrome is characterized by headache, nausea and vomiting, seizures and visual disturbances. It has certain characteristic radiological features, which allow diagnosis in the appropriate clinical setting and enable appropriate clinical therapy to be instituted. Case presentation: A 26 -year-old 7 month pregnant female guddi bai who was hospitalized due to recurrent altered sensorium, cyclic vomiting, visual disturbances, seizure and left hemi paresis was diagnosed as having posterior reversible encephalopathy syndrome without eclampsia after an initial diagnosis of cerebral venous thrombosis was made. Conclusion: Posterior reversible encephalopathy syndrome is a rare disorder in pregnant female without eclampsia and hypertension. Early recognition of characteristic radiological features is key to the diagnosis as clinical symptoms may be non-specific or mimic other neurological illnesses. To the best of our knowledge this is the first case to report an association between posterior reversible encephalopathy syndromes, in pregnant female without eclampsia. Furthermore, in this case, the resolution of the abnormalities found on magnetic resonance imaging over time did not appear to equate with clinical recovery.