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We report on a 32-year-old woman who developed reversible cortical blindness and right-sided weakness after cesarean section at 36 weeks of gestation, due to preeclampsia. An initial brain MRI demonstrated high signal intensity lesions in the bilateral occipito-parietal and left frontal lobes on T2-weighted and diffusion-weighted imaging. All the lesions showed low signal intensity on apparent diffusion coefficient 9ADC) map, which were compatible with cytotoxic edema, and MR angiography (MRA) showed diffuse vasospasm of the intracranial vessels. A follow-up brain MRI showed that most of the lesions disappeared and the vasospasm also resolved. This case suggests that the cytotoxic edema in preeclampsia may evolve differently from the pattern in cerebral infarction and explains the relatively benign course of the neurological signs in preeclampsia. |
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blindness cerebral edema cerebral edema,cytotoxic cerebral edema,vasogenic eclampsia eclampsia,postpartum headache hemiparesis hypertension MRI MRI,abnormal MRI,ADC maps MRI,angiography MRI,diffusion weighted MRI,disappearing lesion on occipital lobe,lesion of posterior leukoencephalopathy syndrome postpartum postpartum cortical blindness pre-eclampsia pregnancy,neurologic complications in prognosis reversible ischemia reversible ischemic neurologic deficit reversible neurologic disorder symmetric brain lesions tick paralysis transient neurologic deficit vasospasm,cerebral
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