Brainstem Variant of Posterior Reversible Encephalopathy Syndrome Revisited
نویسندگان
چکیده
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiologic entity with several well-known causes such as hypertensive encephalopathy, eclampsia, uremia, antirejection therapy, chemotherapeutic agents, characterized as rapid onset of symptoms (including headache, visual disturbance, seizures, altered consciousness) and typical neuroimaging features, which usually resolve over several days to weeks if promptly recognized and treated.
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 کاملTeaching neuroimages: Central variant of posterior reversible encephalopathy syndrome.
A 55-year-old man with chronic hypertension presented with acute headache and dizziness. Physical examination showed severe hypertension (210/140 mm Hg) without any neurologic sign. Brain MRI showed diffuse brain edema over the brainstem, bilateral thalami, and cerebellar hemispheres with multiple microbleeds at bilateral basal ganglia (figure 1). His symptoms improved dramatically after antihy...
متن کاملA Case of Posterior Reversible Encephalopathy Syndrome Presenting with Isolated Diplopia
Despite its rarity, PRES may affect other areas than posterior lobe. Some reported the atypical variant of PRES in which the main lesion was in the brainstem [2-6]. The patients show various combinations of neurological symptoms including visual symptoms, but rarely complain of diplopia [2]. Here we report a man with isolated concomitant strabismus, who was initially suspected as having brainst...
متن کاملClinical and radiological features of brainstem variant of hypertensive encephalopathy.
BACKGROUND The "posterior reversible leukoencephalopathy" syndrome, generally observed in the setting of severe, acute hypertension, often correlates with radiological abnormalities that involve the occipital lobes and other hemispheric areas. A predominant involvement of the brainstem in this syndrome is rare. PATIENTS We report three patients with previously known or newly diagnosed severe ...
متن کاملPosterior Reversible Encephalopathy Syndrome Mimicking Brainstem Infarction: A Dilemma.
PURPOSE We had recently reported one case at American Journal of Emergency Medicine about centralvariant posterior reversible encephalopathy syndrome (PRES) in an 84-year-old woman with an initial misdiagnosis as central pontine myelinolysis (CPM). Here, we introduce another case of centralvariant PRES in a 49-year-old man mimicking as acute brainstem infarction in the cranial computed tomograp...
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:
دوره شماره
صفحات -
تاریخ انتشار 2017