Epilepsy is very rarely attributed to posterior reversible encephalopathy syndrome (PRES). We report the case of a previously healthy 21-year-old who developed epilepsy with mesial temporal sclerosis following an episode of PRES related to a complicated Cesarean delivery. Neuroimaging at the time of PRES and 3 months after revealed the development of unilateral hippocampal volume loss following resolution of acute PRES-related brain edema. We discuss the incidence and importance of “non-reversible” sequelae of PRES and their implications for patient care.
Departments of *Radiology
†College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR
§Department of Neurology, Ohio State University, Columbus, OH
The authors declare no conflict of interest.
Reprints: Ryan T. Fitzgerald, MD, Department of Radiology, University of Arkansas for Medical Sciences, Neuroradiology Division Slot 556, 4301 W. Markham St., Little Rock, AR 72205. E-mail: firstname.lastname@example.org.