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Peer-reviewedCC BY 4.0Frontiers in Immunology

Case Report: Late postpartum eclampsia-associated reversible posterior encephalopathy syndrome with anti-DPPX encephalitis

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiological syndrome characterized by headaches, seizures, visual disturbances, and focal neurological deficits, accompanied by specific cranial imaging findings. Common triggers of PRES include hypertension/eclampsia, renal disease, autoimmune disorders, and drug abuse. PRES associated with autoimmune encephalitis is a rare phenomenon that presents diagnostic challenges in clinical settings, often leading to missed diagnosis and delayed treatment. We report a case involving a patient with late-onset eclampsia, occurring 26 days after cesarean section, who exhibited dual neurological syndromes of reversible posterior encephalopathy syndrome and anti-DPPX encephalitis. MRI resonance imaging revealed vasogenic cerebral edema and extensive enhancing lesions.

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BibTeX
@article{xing2026case,
  title = {{Case Report: Late postpartum eclampsia-associated reversible posterior encephalopathy syndrome with anti-DPPX encephalitis}},
  author = {Xuanlin Xing and Yuyan He and Liumei Ma and Linming Zhang},
  journal = {Frontiers in Immunology},
  year = {2026},
  month = oct,
  doi = {10.3389/fimmu.2026.1967757},
  url = {https://www.frontiersin.org/articles/10.3389/fimmu.2026.1967757},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Case Report: Late postpartum eclampsia-associated reversible posterior encephalopathy syndrome with anti-DPPX encephalitis
AU  - Xuanlin Xing
AU  - Yuyan He
AU  - Liumei Ma
AU  - Linming Zhang
PY  - 2026
DA  - 2026/10/30
JO  - Frontiers in Immunology
DO  - 10.3389/fimmu.2026.1967757
UR  - https://www.frontiersin.org/articles/10.3389/fimmu.2026.1967757
AB  - Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiological syndrome characterized by headaches, seizures, visual disturbances, and focal neurological deficits, accompanied by specific cranial imaging findings. Common triggers of PRES include hypertension/eclampsia, renal disease, autoimmune disorders, and drug abuse. PRES associated with autoimmune encephalitis is a rare phenomenon that presents diagnostic challenges in clinical settings, often leading to missed diagnosis and delayed treatment. We report a case involving a patient with late-onset eclampsia, occurring 26 days after cesarean section, who exhibited dual neurological syndromes of reversible posterior encephalopathy syndrome and anti-DPPX encephalitis. MRI resonance imaging revealed vasogenic cerebral edema and extensive enhancing lesions.
SN  - 1664-3224
ER  -