scholarly journals Postpartum Reversible Cerebral Vasoconstriction with Cortical Subarachnoid Hemorrhage and　Posterior　Reversible　Encephalopathy Syndrome Concomitant with Vertebral Artery Dissection Diagnosed by MRI MSDE Method; A Case Report and Review of Literature.

2021 ◽  
Author(s):  
Kenshi Sano ◽  
Atsushi Kuge ◽  
Rei Kondo ◽  
Tetsu Yamaki ◽  
Hiroshi Homma ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Spin Echo ◽  
Vertebral Artery Dissection ◽  
Sudden Onset ◽  
Artery Dissection ◽  
Posterior Reversible Encephalopathy ◽  
Cerebral Vasoconstriction ◽  
Sequencing Method ◽  
Reversible Encephalopathy

Abstract Background: Headache is one of the most common symptoms that are encountered in the postpartum period. We experienced a rare case of multiple phenomena of postpartum stroke occurred at the same time. Case: A 38-year-old woman experienced sudden onset of thunderclap headache after delivery. We diagnosed cervicocephalic arterial dissection (CAD), and posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS) with cortical subarachnoid hemorrhage on the basis of clinical course and neuroradiological findings. Conclusion: Our case was rare in that multiple phenomena of postpartum stroke occurred at the same time. What is remarkable about this case was the confirmation of the reversibility of these pathological conditions through multifaceted evaluations, including the MRI motion-sensitized driven equilibrium 3D turbo spin echo (MSDE) sequencing method.

scholarly journals Postpartum reversible cerebral vasoconstriction with cortical subarachnoid hemorrhage and　posterior　reversible　encephalopathy syndrome concomitant with vertebral artery dissection diagnosed by MRI MSDE method; a case report and review of literature.

2021 ◽  
Author(s):  
Kenshi Sano ◽  
Atsushi Kuge ◽  
Rei Kondo ◽  
Tetsu Yamaki ◽  
Hiroshi Homma ◽  
...  
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Vertebral Artery Dissection ◽  
Artery Dissection ◽  
Review Of Literature ◽  
Posterior Reversible Encephalopathy ◽  
Cerebral Vasoconstriction ◽  
Pathological Conditions ◽  
Reversible Encephalopathy

Our case was rare in that multiple phenomena of postpartum stroke occurred at the same time. What is remarkable about this case was the confirmation of the reversibility of these pathological conditions through multifaceted evaluations, including the MRI MSDE method.

scholarly journals Cerebrovascular Disease in the Setting of Posterior Reversible Encephalopathy Syndrome

2021 ◽  
Vol 12 ◽  
Author(s):  
XiaoQing Cheng ◽  
JianRui Li ◽  
Ying Lan ◽  
Jia Liu ◽  
Sui Chen ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Literature Review ◽  
Cerebrovascular Disease ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Clinical Manifestations ◽  
Timely Manner ◽  
Diagnostic Challenge ◽  
Posterior Reversible Encephalopathy ◽  
Cerebral Vasoconstriction ◽  
Reversible Encephalopathy

Overlap between the pathogenesis of posterior reversible encephalopathy syndrome and that of cerebrovascular disease can confound their clinical and radiological presentations, posing a diagnostic challenge. This article presents a literature review and discussion of the clinical manifestations, pathological mechanisms, and imaging manifestations of subarachnoid hemorrhage and vasculitis leading to posterior reversible encephalopathy syndrome, coexistence of posterior reversible encephalopathy syndrome with reversible cerebral vasoconstriction syndrome, and hemorrhage and infarction secondary to posterior reversible encephalopathy syndrome. The findings show that posterior reversible encephalopathy syndrome shares some overlapping pathophysiological mechanisms with cerebrovascular disease. Importantly, neuroimaging plays an important role in identifying this entity in a timely manner and differentiating it from other diseases.

scholarly journals Clinical spectrum of patients with posterior reversible encephalopathy syndrome

2020 ◽  
Vol 7 (10) ◽  
pp. 1537
Author(s):  
Sriramchandra Rahul Pulavarty ◽  
Nagabhushana Midathala
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Tertiary Care ◽  
Severe Anaemia ◽  
Sudden Onset ◽  
Common Symptom ◽  
Care Hospital ◽  
Imaging Features ◽  
Posterior Reversible Encephalopathy ◽  
Altered Sensorium ◽  
Reversible Encephalopathy

Background: Posterior reversible encephalopathy syndrome is a neurological disorder which can present with sudden onset headache, visual disturbances, seizures and altered sensorium which is potentially reversible with early detection and treatment of the precipitating factor. The range of presentations is being constantly widened and this endeavour is a step towards understanding the wide array of presentation and primary etiology.Methods: This is a prospective observational study of 25 patients presenting to a tertiary care hospital with symptoms and imaging features suggestive of PRES. Thorough clinical examination and MRI brain were performed in all patients.Results: Out of the 25 patients, 18 (72%) were females and 7 (28%) were males. Most common symptom was headache (84%) followed by seizures (56%), nausea (40%), visual blurring (36%) and altered sensorium (20%). In patients presenting with seizure, 28.57% had recurrent seizures.The most common precipitating cause was postpartum state without hypertension (40%) followed by accelerated hypertension (28%), eclampsia (16%), chronic kidney disease (12%) and one patient of chronic severe anaemia had PRES following blood transfusion (4%). Most of the patients improved with no residual neurological deficit.Conclusions: Good neurological outcomes can be achieved by early diagnosis and appropriate imaging in patients with PRES. In pregnant and postpartum patients, PRES should be always considered even with normal blood pressure. Rapid correction of chronic severe anaemia is a rare but preventable cause of PRES.

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