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CASE REPORT
Year : 2019  |  Volume : 39  |  Issue : 6  |  Page : 284-288

A very rare case of mirror syndrome presenting with concurrent posterior reversible encephalopathy syndrome


1 Department of Neurology, Sorgun State Hospital, Yozgat, Turkey
2 Department of Gynecology and Obstetrics, Sorgun State Hospital, Yozgat, Turkey

Correspondence Address:
Dr. Halil Onder
Department of Neurology, Sorgun State Hospital, Sorgun, Yozgat 66700
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmedsci.jmedsci_25_19

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The objective is to present clinical and neuroimaging findings of a very rare patient diagnosed with mirror syndrome and associated posterior reversible encephalopathy syndrome (PRES). A 19-year-old Syrian, primigravida in the 38th week of gestation was admitted with a severe headache and consciousness impairment developing within a 1-day period. At admission, she was confused and noncooperative, and she developed two consecutive seizures. After prompt cesarean section, the patient recovered completely within 3 days. However, the fetus was hydropic and had deep anemia. The fetus died 5 h after birth due to cardiopulmonary insufficiency. A retrospective evaluation yielded the diagnosis of mirror syndrome. On the other hand, further investigations due to the neurological manifestations of the mother yielded the diagnosis of PRES in association with mirror syndrome. Mirror syndrome should be kept in mind as an important differential diagnosis in circumstances of preeclampsia-like presentations. In addition, to our knowledge, this case also constitutes the first report illustrating a patient with mirror syndrome and concurrent PRES.


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