scholarly journals Posterior reversible encephalopathy syndrome: a rare case with delayed reverse

2019 ◽  
Vol 9 (3) ◽  
pp. 248-250
Author(s):  
Ahmed Tanjimul Islam ◽  
Md Kafil Uddin ◽  
Md Ahmed Ali ◽  
Pijush Kumar Kundu ◽  
Md Munzur Alahi ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Post Partum ◽  
Hyperintense Lesion ◽  
Posterior Reversible Encephalopathy ◽  
Radiological Criteria ◽  
Long Term Follow Up ◽  
Delayed Recovery ◽  
High Index Of Suspicion ◽  
Reversible Encephalopathy

Posterior reversible encephalopathy syndrome (PRES) is a reversible phenomenon diagnosed with both clinical and radiological criteria. We present anatypical case of PRES with unusual delayed reversal. A 29-year-old female presented withseizure and altered consciousness during post-partum periods. The initial computed tomographyscan of brain was normal. But subsequent magnetic resonance imaging of brain showed hyperintense lesion in rightparieto-occipital region. After 7 weeks of multidisciplinary team effort, the patient recovered both clinically and radiologically. High index of suspicion with long term follow up is crucial for this curable and reversible syndrome. Because of rarity in delayed recovery, this case of PRES is reported. Birdem Med J 2019; 9(3): 248-250

scholarly journals A Unique Presentation of Posterior Reversible Encephalopathy Syndrome

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Anupriya Saxena ◽  
Ruchi Kapoor ◽  
Ashok Kumar Saxena
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Post Partum ◽  
Pregnant Patient ◽  
Complete Recovery ◽  
Pregnancy Induced Hypertension ◽  
Posterior Reversible Encephalopathy ◽  
Mri Brain ◽  
Induced Hypertension ◽  
High Index Of Suspicion ◽  
Reversible Encephalopathy

Introduction: Posterior reversible encephalopathy syndrome is a neurologic condition which is often though not always is associated with Pregnancy induced Hypertension. A high index of suspicion in a pregnant patient who presents with seizure and altered sensorium, along with characteristic findings in magnetic resonance imaging which are pathognomic for this syndrome can help clinch the diagnosis. An early definitive diagnosis and prompt management is the key to prevent permanent neurological damage in the patient. Case Report: We report a case of delayed unusual presentation (6 days post partum) of Posterior reversible encephalopathy syndrome [PRES] in a 25 year old pregnant patient of Pregnancy Induced Hypertension, wherein the patient presented six days after the delivery of baby in a unconscious state. She was admitted in intensive care unit and was managed with mechanical ventilation along with other neuroprotective measures. MRI brain was done which helped to clinch the diagnosis of PRES. She had complete recovery without any residual neurologic deficits and was discharged. Conclusion: Prompt and early diagnosis and neuroprotective measures are the keys for an ideal management of Posterior Reversible Encephalopathy syndrome. Also MRI brain is essential to clinch the diagnosis. Keywords: PRES, Pregnancy, Preeclampsia, Eclampsia.

scholarly journals Long-Term Follow-Up of Patients with a Diagnosis of Posterior Reversible Encephalopathy Syndrome

2021 ◽  
Vol 56 (6) ◽  
pp. 569-575
Author(s):  
Mehmet Canpolat ◽  
◽  
Gül Demet Kaya Özçora ◽  
Hakan Poyrazoğlu ◽  
Huseyin Per ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Posterior Reversible Encephalopathy ◽  
Long Term Follow Up ◽  
Reversible Encephalopathy

Long-term Consequences of the Posterior Reversible Encephalopathy Syndrome in Eclampsia and Preeclampsia

2014 ◽  
Vol 69 (5) ◽  
pp. 287-300 ◽  
Author(s):  
Ineke R. Postma ◽  
Sjoerdtje Slager ◽  
Hubertus P.H. Kremer ◽  
Jan Cees de Groot ◽  
Gerda G. Zeeman
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Posterior Reversible Encephalopathy ◽  
Long Term Consequences ◽  
Reversible Encephalopathy

Posterior Reversible Encephalopathy Syndrome in Children:: A Prospective Follow-up Study

2019 ◽  
Vol 35 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Amira Hamed Darwish
Keyword(s):  
Stem Cell ◽  
Hematopoietic Stem Cell Transplantation ◽  
Stem Cell Transplantation ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Hematopoietic Stem ◽  
Posterior Reversible Encephalopathy ◽  
Neurologic Sequelae ◽  
Reversible Encephalopathy

Aim: To evaluate clinical and radiologic presentation, and neurologic outcome of pediatric posterior reversible encephalopathy syndrome (PRES). Patients and Methods: The study included 24 children (14 males and 10 females) diagnosed with PRES who were prospectively followed for 2 years. They were evaluated using Wechsler Intelligence Scale, electroencephalograph (EEG), and brain magnetic resonance imaging (MRI). Results: The mean age of the studied patients at the time of diagnosis of PRES was 6 years (±2.2). Chemotherapy for cancer represented 66.7% of the causes of PRES in the studied children, followed by renal disorders and immunosuppressive agents for hematopoietic stem cell transplantation. Twenty-seven attacks of PRES were reported as 3 children developed a second attack of PRES. Normal intelligence quotient was found in 95.8% of studied children after PRES. Residual abnormalities in follow-up MRI were demonstrated in 3 children. Epilepsy and residual MRI lesions were reported in 2 of the 3 children with recurrent PRES. Residual lesions in follow-up MRI and epilepsy were more significantly reported after recurrent PRES ( P < .05). Conclusions: Neoplastic, renal disorders and hematopoietic stem cell transplantation represent the main disorders associated with PRES in children. Chemotherapeutic drugs, immunosuppressants, and hypertension are the main risk factors for pediatric PRES. The outcome of pediatric PRES is good, but long-term neurologic sequelae can occur, mainly epilepsy and residual MRI abnormalities. Recurrence of PRES is infrequently reported in children receiving chemotherapeutic or immunosuppressive drugs. Recurrent PRES is a risk factor for long-term neurologic sequelae.

scholarly journals Long-term risk of seizures and epilepsy in patients with posterior reversible encephalopathy syndrome

Epilepsia ◽  
2015 ◽  
Vol 56 (4) ◽  
pp. 564-568 ◽  
Author(s):  
Sudhir Datar ◽  
Tarun Singh ◽  
Alejandro A. Rabinstein ◽  
Jennifer E. Fugate ◽  
Sara Hocker
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy
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