Complicated Preeclampsia; A rare case of concurrent PRES and CRVS

Abstract

This case report explores the rare occurrence of simultaneous Posterior Reversible Encephalopathy Syndrome (PRES) and Cerebral Reversible Vasoconstriction Syndrome (CRVS) in a 32-year-old primigravida at 37 weeks' gestation with pre-eclampsia, requiring emergency caesarean section. This rare case highlights the overlapping clinical and radiographic features of PRES and CRVS, proposing shared pathophysiological mechanisms involving cerebral autoregulation failure and blood-brain barrier disruption. Discussion explores differential diagnoses, emphasizing the challenges of promptly diagnosing pre-eclampsia-associated neurological complications using an inter-disciplinary approach with specific attention to the interplay in treatment approach for PRES and CRVS.