The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report
Posterior reversible encephalopathy syndrome (PRES) is a rare neurological disorder with no specific clinical symptoms in the early stage; thus, early imaging identification is of great importance. A 29-year-old pregnant woman at 37 weeks experienced sudden generalized seizures accompanied by impair...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-03-01
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| Series: | Brain Circulation |
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| Online Access: | https://journals.lww.com/10.4103/bc.bc_74_24 |
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| author | Yilong He Langtao He Yetao Lin Yitao He |
| author_facet | Yilong He Langtao He Yetao Lin Yitao He |
| author_sort | Yilong He |
| collection | DOAJ |
| description | Posterior reversible encephalopathy syndrome (PRES) is a rare neurological disorder with no specific clinical symptoms in the early stage; thus, early imaging identification is of great importance. A 29-year-old pregnant woman at 37 weeks experienced sudden generalized seizures accompanied by impaired consciousness. Brain computed tomography, conducted around 3 h after the onset, revealed symmetric areas of decreased density in the basal ganglia, brainstem, and suboccipital cortex, along with cerebral swelling. Following treatment with positive inotrope, diuretics, antihypertensives, and dehydration therapy, the patient regained clear consciousness on the 2nd day. On the 9th day postonset, a follow-up contrast-enhanced magnetic resonance imaging (MRI) showed slightly elevated signals in the bilateral occipital lobes on the T2 fluid-attenuated inversion recovery sequence. A subsequent brain MRI on day 47 postonset indicated no significant abnormal changes. Neuroimaging is pivotal for PRES diagnosis, revealing typical signs of widespread vasogenic edema in the posterior brain white matter, affecting the occipital lobes, cerebellum, brainstem, thalamus, and basal ganglia. With timely treatment, these lesions can partially or completely resolve within days or weeks. |
| format | Article |
| id | doaj-art-4e1b02df7ee74b0d8b53660d7eba151f |
| institution | DOAJ |
| issn | 2455-4626 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Brain Circulation |
| spelling | doaj-art-4e1b02df7ee74b0d8b53660d7eba151f2025-08-20T02:58:01ZengWolters Kluwer Medknow PublicationsBrain Circulation2455-46262025-03-0111324024210.4103/bc.bc_74_24The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case reportYilong HeLangtao HeYetao LinYitao HePosterior reversible encephalopathy syndrome (PRES) is a rare neurological disorder with no specific clinical symptoms in the early stage; thus, early imaging identification is of great importance. A 29-year-old pregnant woman at 37 weeks experienced sudden generalized seizures accompanied by impaired consciousness. Brain computed tomography, conducted around 3 h after the onset, revealed symmetric areas of decreased density in the basal ganglia, brainstem, and suboccipital cortex, along with cerebral swelling. Following treatment with positive inotrope, diuretics, antihypertensives, and dehydration therapy, the patient regained clear consciousness on the 2nd day. On the 9th day postonset, a follow-up contrast-enhanced magnetic resonance imaging (MRI) showed slightly elevated signals in the bilateral occipital lobes on the T2 fluid-attenuated inversion recovery sequence. A subsequent brain MRI on day 47 postonset indicated no significant abnormal changes. Neuroimaging is pivotal for PRES diagnosis, revealing typical signs of widespread vasogenic edema in the posterior brain white matter, affecting the occipital lobes, cerebellum, brainstem, thalamus, and basal ganglia. With timely treatment, these lesions can partially or completely resolve within days or weeks.https://journals.lww.com/10.4103/bc.bc_74_24consciousnesseclampsiaimageposterior reversible encephalopathy syndromeseizures |
| spellingShingle | Yilong He Langtao He Yetao Lin Yitao He The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report Brain Circulation consciousness eclampsia image posterior reversible encephalopathy syndrome seizures |
| title | The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report |
| title_full | The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report |
| title_fullStr | The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report |
| title_full_unstemmed | The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report |
| title_short | The evolving imaging of rapidly improving posterior reversible encephalopathy syndrome: A case report |
| title_sort | evolving imaging of rapidly improving posterior reversible encephalopathy syndrome a case report |
| topic | consciousness eclampsia image posterior reversible encephalopathy syndrome seizures |
| url | https://journals.lww.com/10.4103/bc.bc_74_24 |
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