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Revealing image of arterial spin labelling in posterior reversible encephalopathy syndrome
  1. Y Muralidhar Reddy,
  2. Subhendu Parida,
  3. Roshan Chavan,
  4. JMK Murthy
  1. Neurology, CARE Hospital Banjara Hills, Hyderabad, India
  1. Correspondence to Dr Y Muralidhar Reddy, Neurology, CARE Hospital Banjara Hills, Hyderabad 500034, India; muralidharnims{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2021-140845

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    A 31-year-old postpartum woman presented with a generalised tonic–clonic seizure on the seventh day of delivery. The antepartum period was uneventful, and there was no significant medical history. Examination showed elevated blood pressure (160/100) and a disoriented patient. MRI of the brain showed hyperintensities in bilateral parieto-occipital areas (figure 1A–E) suggestive of posterior reversible encephalopathy syndrome (PRES). Pulsed arterial spin labelling (ASL) showed hyperperfusion in corresponding areas (figure 1F,G). Electroencephalography showed delta range slowing in the …

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    • Collaborators Not applicable.

    • Contributors MRY has identified the patient, carried out the literature search and drafted the manuscript; PS has reported the radiology; CR has collected the data and helped in the literature search; JMKM revised the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.