Unrecognised late post-partum eclampsia presenting as posterior reversible encephalopathy syndrome

We present a lady in whom late post-partum eclampsia (LPE) was overlooked. The diagnosis was delayed and only made when MRI brain demonstrated posterior reversible encephalopathy syndrome (PRES). There is a need for greater awareness of both LPE and PRES. We summarise the recent literature and emphasise the importance of recognising the conditions on clinical grounds so that treatment can be started without delay.