‘PRES’SING problems in pregnancy: A case report
Posterior reversible encephalopathy syndrome (PRES) earlier called as reversible posterior leukoencephalopathy syndrome is a clinicoradiologic syndrome of heterogenous etiologies grouped together because of similar clinical and radiologic findings. Patients present with features of headache, confusi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Kerala Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/kjo.kjo_111_23 |
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| author | Saritha V. Krishnankutty Rebida Sanam Praveen C. Purushothaman Vijayamma Narayani |
| author_facet | Saritha V. Krishnankutty Rebida Sanam Praveen C. Purushothaman Vijayamma Narayani |
| author_sort | Saritha V. Krishnankutty |
| collection | DOAJ |
| description | Posterior reversible encephalopathy syndrome (PRES) earlier called as reversible posterior leukoencephalopathy syndrome is a clinicoradiologic syndrome of heterogenous etiologies grouped together because of similar clinical and radiologic findings. Patients present with features of headache, confusion or decreased consciousness, visual complaints, and sometimes seizures of acute or subacute onset. The underlying etiology or inciting factors are variable, the most common being hypertension, renal disease, and immunosuppressive drugs. They are diagnosed based on the common radiologic finding of bilateral posterior cerebral white matter edema. Other radiologic findings may also be present. Such patients may present first to an ophthalmologist with complaints of sudden onset of defective vision or double vision. It is a reversible entity if identified early. Hence, high index of suspicion, quick diagnosis, and management are important. Here, we present the case of a 23-year-old primigravida with chronic hypertension who presented with sudden onset of defective vision followed by headache. Visual acuity was only perception of hand movements in both eyes. Ophthalmologic evaluation showed no abnormality to account for the visual loss. Brain imaging showed bilateral parieto-occipital white matter edema consistent with clinical diagnosis of PRES. After treatment of hypertension and supportive measures, the patient’s symptoms recovered, and her vision was 6/6 in both eyes on 1-week follow-up. Follow-up MRI also showed resolution of edema. |
| format | Article |
| id | doaj-art-88d56602e8474efa93497e39e25a9bdb |
| institution | OA Journals |
| issn | 0976-6677 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Kerala Journal of Ophthalmology |
| spelling | doaj-art-88d56602e8474efa93497e39e25a9bdb2025-08-20T02:11:05ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772025-01-01371737510.4103/kjo.kjo_111_23‘PRES’SING problems in pregnancy: A case reportSaritha V. KrishnankuttyRebida SanamPraveen C. PurushothamanVijayamma NarayaniPosterior reversible encephalopathy syndrome (PRES) earlier called as reversible posterior leukoencephalopathy syndrome is a clinicoradiologic syndrome of heterogenous etiologies grouped together because of similar clinical and radiologic findings. Patients present with features of headache, confusion or decreased consciousness, visual complaints, and sometimes seizures of acute or subacute onset. The underlying etiology or inciting factors are variable, the most common being hypertension, renal disease, and immunosuppressive drugs. They are diagnosed based on the common radiologic finding of bilateral posterior cerebral white matter edema. Other radiologic findings may also be present. Such patients may present first to an ophthalmologist with complaints of sudden onset of defective vision or double vision. It is a reversible entity if identified early. Hence, high index of suspicion, quick diagnosis, and management are important. Here, we present the case of a 23-year-old primigravida with chronic hypertension who presented with sudden onset of defective vision followed by headache. Visual acuity was only perception of hand movements in both eyes. Ophthalmologic evaluation showed no abnormality to account for the visual loss. Brain imaging showed bilateral parieto-occipital white matter edema consistent with clinical diagnosis of PRES. After treatment of hypertension and supportive measures, the patient’s symptoms recovered, and her vision was 6/6 in both eyes on 1-week follow-up. Follow-up MRI also showed resolution of edema.https://journals.lww.com/10.4103/kjo.kjo_111_23edemahypertensionmriposterior reversible encephalopathy syndromepregnancy |
| spellingShingle | Saritha V. Krishnankutty Rebida Sanam Praveen C. Purushothaman Vijayamma Narayani ‘PRES’SING problems in pregnancy: A case report Kerala Journal of Ophthalmology edema hypertension mri posterior reversible encephalopathy syndrome pregnancy |
| title | ‘PRES’SING problems in pregnancy: A case report |
| title_full | ‘PRES’SING problems in pregnancy: A case report |
| title_fullStr | ‘PRES’SING problems in pregnancy: A case report |
| title_full_unstemmed | ‘PRES’SING problems in pregnancy: A case report |
| title_short | ‘PRES’SING problems in pregnancy: A case report |
| title_sort | pres sing problems in pregnancy a case report |
| topic | edema hypertension mri posterior reversible encephalopathy syndrome pregnancy |
| url | https://journals.lww.com/10.4103/kjo.kjo_111_23 |
| work_keys_str_mv | AT sarithavkrishnankutty pressingproblemsinpregnancyacasereport AT rebidasanam pressingproblemsinpregnancyacasereport AT praveencpurushothaman pressingproblemsinpregnancyacasereport AT vijayammanarayani pressingproblemsinpregnancyacasereport |