Abstract

Posterior reversible encephalopathy syndrome (PRES) is an acute neurotoxic syndrome that is characterized by a spectrum neurological and radiological feature from various risk factors.Delay in the diagnosis and treatment may result in death or in irreversible neurological sequelae. Common neurological symptoms includes headache, impairment in level of consciousness, seizures, visual disturbances, and focal neurological deficits. Common triggering factors include blood pressure fluctuations, renal failure, eclampsia, exposure to immunosuppressive or cytotoxic agents and autoimmune disorders.The classic radiographic findings include bilateral subcortical vasogenic edema predominantly affecting the parieto-occipital regions but atypical features include involvement of other regions, cortical involvement, restricted diffusion, hemorrhage, contrast enhancement. It is the first case of PRES without underlying disease. We report a case of postpartum eclampsia presented 8 days after delivery, which is the latest onset ever described. Wesuggest  The presence of prodromal symptoms should be thoroughly investigated, even in the absence of antecedent pre-eclampsia