DOI: 10.12890/2016_000376
A Less Known Stroke Mimic: Posterior Reversible Encephalopathy Syndrome
Authors
damaze2002@yahoo.com
Keywords
Posterior reversible encephalopathy syndrome, hyperacute stroke, stroke mimics, thrombolysis, Brain imagingAbstract
Posterior reversible encephalopathy syndrome (PRES) is a clinico-neuro-radiological diagnosis, which can complicate a wide range of conditions. Clinical features include generalised and/or focal neurological deficits. These features are also present in neurovascular disorders, such as stroke. Currently, emphasis in the management of hyperacute stroke is thrombolysis, and it is important to bear in mind stroke mimics as a possible cause of clinical features. The Authors present the case of a 66-year-old man, who presented with acute focal neurological deficit. His brain imaging and history were consistent with PRES.
References
- Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996;334:494–500.
- Legriel S, Pico F, Azoulay E. Understanding Posterior Reversible Encephalopathy Syndrome. J.-L. Vincent (ed.), Annual Update in Intensive Care and Emergency Medicine 2011.
- Pasupuleti DV, Miranda M, Vattipally V. Case Report: Posterior Reversible Encephalopathy Syndrome. Am Fam Physician 2005;72:2430–2436.
- Pedraza R, Marik PE, Varon J. Posterior Reversible Encephalopathy Syndrome: A Review. Crit Care & Shock 2009;12:135–143.
- Bartynski WS, Boardman JF. Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome. AJNR Am J Neuroradiol 2007;28:1320–1327.