Fulminant postpartum posterior reversible encephalopathy syndrome associated with hemolysis, elevated liver enzymes, and low platelet count syndrome: A case report

Figure 1 Axial fluid-attenuated inversion recovery magnetic resonance images. A: Symmetric extensive bilateral cortico-subcortical hyperintensities involving the parieto-occipital regions within the posterior circulation territories; B: Extension of hyperintense lesions into deep central structures, including the basal ganglia and periventricular white matter; C: Diffuse bilateral vasogenic edema with widespread cortical-subcortical hyperintensities involving both posterior and central brain regions.

Figure 2 Cranial computed tomography images. A: Massive intraventricular hemorrhage involving the lateral and third ventricles, associated with diffuse cerebral edema and ventricular enlargement; B: Blood extension into the fourth ventricle at the level of the posterior fossa, with marked brainstem compression and obliteration of the basal cisterns, findings consistent with severe intracranial hypertension; C: Right capsuloganglionic intraparenchymal hemorrhage with massive intraventricular extension, surrounding edema, hydrocephalus, and significant mass effect.