Parto Teb Azma

History (HX):
Headache-seizure, blurred vision, systemic hypertension and recent childbearing (CS 5 days ago)

Findings:
Bilateral parieto-occipital and frontal T2-hyperintension cortical / subcortical lesions .
DWI is normal which can distinguish reversible changes from early ischemia

Diagnosis (DX):Posterior Reversible Encephalopathy syndrome (PRES)

Discussion :
Disorder of cerebrovascular autoregulation with multiple etiologies, most of which cause acute hypertension. This heads to hyperperfusion and BBB disruption with escape of fluid from the intravascular component into the interstitium (subcortical edema) but without infarction of the brain.