The Diagnosis of posterior Reversible Leukoencephalopathy Syndrome: A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Introduction Reversible posterior leukoencephalopathy syndrome (PRES) is a reversible condition with vasogenic cerebral edema as amain pathological feature. Lesion mainly involves posterior part of cerebrum with wide range ofsymptoms ranging from headache,seizure,altered mental status, nausea, vision loss etc. Aim To study the clinical and radiological features of PRES. Material And Methods A prospective study was conducted in Mahatma Gandhi Medical College,Jaipur with 15 cases from June 2017- December 2017. Results Out of 15 patients, 12 were female and 3 were male with a mean age of 32.06 years. Most common presentation was seizure(53.3%) followed by altered mental status (33.3%) and headache (13.3%). Main comorbid illness in our study were eclampsia and postpartum sepsis (46.6%), renal diseases (26.6%),hypertension (26.6%). Most common site was occipito-parietal region on MRI brain (86.6%). Other atypical presentation involved temporal lobe (40%), basal ganglia (20%) and infarct (13.3%). Conclusion PRES is a reversible condition and has good outcome in most of the patients. In our study seizure is the most common presentation and hypertension is the most common comorbid illness and occipital regions are most common site on MRI.
Authors and Affiliations
Dr PareshKumar Sukhani, Dr Nipun Gumber, Dr Hemant Kumar Mishra
Keywords
Related Articles
- EP ID EP362955
- DOI 10.9790/0853-1702086264
- Views 77
- Downloads 0
Study of Efficacy of Cilostazole in Peripheral Arterial Occlusive Disease
Peripheral arterial occlusive disease (PAOD), commonly referred to as peripheral arterial disease (PAD) or peripheral vascular disease (PVD), refers to the obstruction or deterioration of blood flow through the arteries,...
Morphometric Study of Kidney in Normal Human Subjects by Using Ultrasonography
Kidneys are also called as renes or nephros from which we have the derivative renal or nephron are retroperitoneal by position. Study of normal anatomy with the aid of ultrasonography is reliable & cost effective. Method...
Fetomaternal Outcome in Post Caesarean Pregnancy.
Introduction: One Of The Oldest Controversies In Obstetrics Is Over Optimal Management Of The Pregnant Women With Previous Lower Segment Caesarean Section (Lscs). With The Increasing Trends In Caesarean Section Rate A La...
Intrathecal Hyperbaric Ropivacaine and Hyperbaric Ropivacaine with Fentanyl in Caesarean Section: A Comparative Study
Background: Ropivacaine is considered to have more selectivity for sensory blockade with lower systemic toxicity compared to agents like bupivacaine. In this study, spinal block characteristics of hyperbaric ropivacaine...
A Cross Sectional Study on Prevalence of Needle Stick Injury And Management Practices Among Health Workers Working In A Teaching Hospital, Tripura
Introduction: Needle stick injuries are most common occupational hazards health care workers are faced with. These injuries usually occur during activities such as transfusion, blood sampling, needle disposal, waste coll...