Reproductive Health and Wellness
Posterior Reversible Encephalopathy Syndrome in a Adult Female
Posterior reversible encephalopathy syndrome is a clinico-neuroradiologic diagnosis, with rapidly evolving neurologic
condition, characterized by headache, confusion, altered mental status, seizures, cortical blindness, lethargy, stupor,
and occasionally, focal neurological signs accompanied by a typical computed tomography or magnetic resonance
imaging pattern. With early recognition and treatment, complete resolution of symptoms occurs. Typical imaging
findings characteristically involve the white matter bilaterally in the parieto-occipital regions. Atypical imaging
finding of contrast enhancement of lesion can occur, but is less common. A 20-year-old primiparous lady presented
with posterior reversible encephalopathy syndrome. To the best of our knowledge, this is the first documented case
in Nigeria. This case-report highlights the importance of recognizing the salient imaging features in this lethal but
reversible entity with prompt management.
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