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.