Abstract:
Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-neuroradiologic condition, not
commonly reported in the literature. PRES is an uncommon complication of severe preeclampsia/
eclampsia. We report the management of a 21 y-female with peripartum eclampsia and ‘partial’ HELLP
syndrome (haemolysis, elevated liver enzymes and low-platelets) presenting with status-epilepticus. She
had neurological, cardiovascular, hepatic, renal and hematological involvement along with electrolyte
abnormalities. Early diagnosis along with timely supportive therapy resulted in the successful
management of this challenging case. Recent understanding on the pathophysiology of this uncommon
condition is discussed. We highlight the importance to obstetricians, intensive-care physicians and
anesthesiologists of recognizing such cases.
