Ultra-Early Magnetic Resonance Imaging Findings of Eclampsia

OBJECTIVE: To report the very early magnetic resonance imaging features of eclampsia. DESIGN: Case report. SETTING: Inpatient neurology service. PATIENT: A 35-year-old woman who developed late postpartum eclampsia with cerebral edema, caudate hemorrhage, and ischemic strokes. Main Outcome Measure Very early magnetic resonance imaging features. RESULTS: Magnetic resonance imaging with gadolinium showed posterior sulcal hyperintensity and leptomeningeal enhancement preceding the development of posterior reversible encephalopathy syndrome, hemorrhage, and ischemic strokes by days. CONCLUSION: Magnetic resonance imaging with gadolinium shows early characteristic findings that precede the more classic clinical presentation of eclampsia.