Asymmetric posterior reversible encephalopathy syndrome due to hypertensive encephalopathy.
نویسندگان
چکیده
A 41-year-old man was referred to our hospital presenting with drowsiness and left hemiparesis. He had a history of hypertension and chronic renal failure without any medication. He noticed hematuria one month before admission. On admission his blood pressure was 210/125 mmHg. Magnetic resonance imaging of the brain revealed hyperintensities in fluid-attenuated inversion recovery imaging at the brainstem and cerebellum bilaterally and right supratentorial white matter with mass effect (Picture A, B). Magnetic resonance angiography revealed stenosis of the left internal carotid ar-
منابع مشابه
Unexpected Maternal Convulsion: An Idiopathic Case of Posterior Reversible Encephalopathy Syndrome after Delivery
Posterior reversible encephalopathy syndrome (PRES) is associated with various clinical manifestations such as headache, blurred vision, confusion and tonic-clonic convulsion. Some of the predisposing factors for PRES include hypertensive encephalopathy, preeclampsia and eclampsia, lupus erythematosus, thrombotic thrombocytopenic purpura and long-term use of immunosuppressive drugs. This condit...
متن کاملHypertensive encephalopathy and cerebral infarction
INTRODUCTION Hypertensive encephalopathy is one cause of posterior reversible encephalopathy syndrome. Hypertensive encephalopathy and cerebral infarction have only been reported in a few individual case reports. CASE DESCRIPTION A 51-year-old woman presented with hypertensive encephalopathy. T2-weighted images from magnetic resonance imaging showed hyperintense lesions in both occipital and ...
متن کاملDelayed CSF enhancement in posterior reversible encephalopathy syndrome.
SUMMARY We present a case of increased fluid-attenuated inversion recovery signal intensity in the subarachnoid spaces on 6-hour delayed enhanced MR imaging in a patient with posterior reversible encephalopathy syndrome (PRES) in the setting of acute hypertensive encephalopathy. This hyperintensity was believed due to CSF gadolinium enhancement, a finding that would be anticipated in light of t...
متن کاملProbable Isolated Hypertensive Brainstem Encephalopathy Combined with Intracerebral Hemorrhage: a Case Report
Hypertensive encephalopathy is an acute neurological syndrome caused by a sudden increase of systemic blood pressure (1, 2). The imaging abnormalities are predominant in the parieto-occipital subcortical white matter. The clinical and radiological abnormalities are reversible after antihypertensive treatment (3). Therefore, hypertensive encephalopathy has been called posterior reversible enceph...
متن کاملPosterior reversible encephalopathy syndrome presenting with seizures.
Hyperperfusion syndrome, previously known as posterior reversible encephalopathy syndrome (PRES), is a clinico- radiological entity with characteristic features on neuro-imaging. It is believed to be caused by vasogenic oedema, predominantly in the posterior cerebral hemispheres. We report the case of an elderly man who presented with convulsions and was diagnosed to have PRES due to hypertension.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Internal medicine
دوره 54 8 شماره
صفحات -
تاریخ انتشار 2015