Patil S Vinod, Dhamangaonkar B R, Pattanshetti R C, Patil M M
Postgraduate, Department of Radiology, Shri BM Patil Medical College, Hospital and Research Centre , Bijapur, Karnataka, India .
Professor, Department of Radiology, Shri BM Patil Medical College, Hospital and Research Centre , Bijapur, Karnataka, India .
J Clin Diagn Res. 2014 Apr;8(4):RD01-2. doi: 10.7860/JCDR/2014/7793.4230. Epub 2014 Apr 15.
Posterior reversible encephalopathy syndrome (PRES) is a rare acute neurologic condition, characterized by acute neurological symptoms. The radiological findings are predominantly seen in the posterior cerebral hemispheres and are reversible with appropriate management. We are reporting a case of a 21-year-old woman (primigravida), who presented with loss of vision, head ache and vomiting on 2nd day of post-caesarean section. Caesarean section was done due to fetal distress. On examination, patient appeared drowsy but arousable, had a blood pressure of 140/114 mmHg, rest of the examination was unremarkable. CT and MRI brain was performed to rule out cerebral venous sinus thrombosis and cortical blindness; imaging and clinical findings were suggestive of posterior reversible encephalopathy syndrome (PRES). She was treated successfully with antihypertensives and showed dramatic improvement.
后部可逆性脑病综合征（PRES）是一种罕见的急性神经系统疾病，以急性神经症状为特征。影像学表现主要见于大脑后半球，经适当治疗可逆转。我们报告一例21岁初产妇，在剖宫产术后第2天出现视力丧失、头痛和呕吐。剖宫产是由于胎儿窘迫进行的。检查时，患者嗜睡但可唤醒，血压为140/114 mmHg，其余检查无异常。进行了脑部CT和MRI检查以排除脑静脉窦血栓形成和皮质盲；影像学和临床检查结果提示后部可逆性脑病综合征（PRES）。她通过抗高血压药物治疗成功，病情显著改善。
