Central Variant of Posterior Reversible Encephalopathy Syndrome – A Rare Case Report
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 4
Abstract
Posterior Reversible Encephalopathy Syndrome (PRES) is a clinicoradiological condition associated with headache, altered mental status, dizziness and white matter vasogenic oedema in parieto-occipital region. It is often associated with hypertension but can also occur in diverse clinical settings like immunosuppression, eclampsia, etc. It is due to failure of autoregulatory mechanism of posterior circulation in response to change in blood pressure. We hereby report a rare case of central variant of PRES secondary to severe hypertension diagnosed with 3T MRI. Objective of reporting this case was to describe the imaging findings of typical and rare atypical patterns of PRES. A 71-year-old male hypertensive patient was referred for brain imaging with history of short period of loss of consciousness, headache and dizziness. MRI brain showed central variant pattern of PRES with preferential involvement of brainstem, thalami and periventricular white matter with sparing of frontal, parietal and occipital lobes. The patient was treated with anti-hypertensive after which patient`s symptoms subsided. The patient was followed up conservatively. Atypical variants of PRES should be borne in mind when pontine hyperintensity is encountered in hypertensive patient.
Authors and Affiliations
KG Srinivasan, Padhmini Balasubramanian, KR Mayilvaganan, Usha Nandhini Kannan, Mohamed Bilal
Keywords
Related Articles
- EP ID EP338665
- DOI 10.7860/JCDR/2017/23269.9682
- Views 123
- Downloads 0
Comparative Analysis between Podography and Radiography in the Management of Idiopathic Clubfeet by Ponseti Technique
Introduction: Idiopathic clubfoot is one of the most common and oldest congenital foot anomalies. There are controversies regarding its optimum management protocol and methodologies to be employed for its functional outc...
Comparison of Continuous Femoral Nerve Block versus Local Infiltration Analgesia as a Postoperative Analgesia in Unilateral Total Knee Arthroplasty
Introduction: Local infiltration of knee joint in arthroplasty, provide postoperative analgesia and preserves motor power of quadriceps, which helps in early mobilisation, as compared to femoral nerve block which paralys...
Relationship of Lifestyle with Academic Achievement in Nursing Students
Introduction: A healthy lifestyle is one of the main factor in maintaining the health of people in society. With regard to the role of youth and students in public health, they must complete and follow a training program...
Extra-Nasopharyngeal Angiofibroma in a Pre-Pubertal Child
Nasopharyngeal Angiofibromas (NA) are benign fibro-vascular tumours, predominantly occurring in the region around sphenopalatine foramen of adolescent males. Angiofibromas arising outside nasopharynx are termed as Extra-...
Assessment of Common Risk Factors Between Oral Diseases and Non-communicable Diseases in a Hospital-based Population in Kerala, India- A Cross-sectional Study
ABSTRACT Introduction: Non-Communicable Diseases (NCDs) have assumed epidemic proportions around the world. Oral diseases also pose tremendous physical and emotional burden on the people. Both these conditions (NCDs and...