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Reversible posterior encephalopathy syndrome associated with late onset postpartum eclampsia

Posterior reversible encephalopathy syndrome (PRES) is a clinic neuro radiological entity presenting with headache, confusion, visual disturbances or blindness, and seizures. Parieto-occipital white matter changes due to vasogenic oedema can be observed on imaging modalities. We report a 22-years-old prime gravida with twin delivery with a history of Late onset eclampsia post-delivery, complicated by PRES. Late onset postpartum eclampsia (LPE) is defined by its onset at >48 h after delivery. In our case convulsions and hypertension happened post-delivery with a diagnosis of LPE which have been complicated by PRES. Clinical improvement with complete resolution without any complications was observed on the 6th day after delivery with proper treatment of hypertension and Convulsions. Early diagnosis was a big asset, using clinical and radiological skills.Posterior reversible encephalopathy syndrome is reversible when early diagnosis is established and appropriate treatment is started without delay.