DR. VIDHI ANKLESARIA

Dr. ANITA T. GIRISH, Dr. BINDU MALINI M, DR. SOUMYA H.V., Dr. SHILPA G.

Abstract

Purpose: To report cases of Posterior reverse encephalopathy syndrome (PRES) with varying etiologies, presentations and to study their treatment outcome.

Materials and methods: In this series, 4 cases of PRES with sudden gross diminution of vision are reported.

CASE 1 – 42-year-old male, known hypertensive with retroviral disease

CASE 2- 32-year-old male with headache and vomiting

CASE 3- 35-year-old male, case of type 2 diabetes mellitus and pulmonary tuberculosis

CASE 4- 25-year-old woman, 29 weeks of gestation with imminent eclampsia, morbid obesity, convulsion and vomiting

All patients were treated with respect to underlying etiology.

Results: Although appalling at presentation, cases show marked improvement clinically within the first week if the underlying etiopathology can be satisfactorily treated.

Conclusion: The need for high index of suspicion is required and improvement of clinical condition suggests excellent prognosis in patients of PRES.

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