Posterior reversible encephalopathy syndrome: A case report
Posterior reversible encephalopathy syndrome (PRES) is characterized by the following symptoms: seizures, impaired consciousness and/or vision, vomiting, nausea, and focal neurological signs. Diagnostic imaging includes examination by magnetic resonance (MR) and computed tomography (CT), wh...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400053K.pdf |
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| author | Kostić Dejan Brkić-Georgievski Biljana Jovanovski Aleksandar Kostić Smiljana Ivetić Dražen Sekulović Leposava |
| author_facet | Kostić Dejan Brkić-Georgievski Biljana Jovanovski Aleksandar Kostić Smiljana Ivetić Dražen Sekulović Leposava |
| author_sort | Kostić Dejan |
| collection | DOAJ |
| description | Posterior reversible encephalopathy syndrome (PRES) is characterized by the
following symptoms: seizures, impaired consciousness and/or vision,
vomiting, nausea, and focal neurological signs. Diagnostic imaging includes
examination by magnetic resonance (MR) and computed tomography (CT), where
brain edema is visualized bi-laterally and symmetrically, predominantly
posteriorly, parietally, and occipitally. Case report. We presented a
73-year-old patient with the years-long medical history of hipertension and
renal insufficiency, who developed PRES with the symptomatology of the rear
cranium. CT and MR verified changes in the white matter involving all lobes
on both sides of the brain. After a two-week treatment (antihypertensive,
hypolipemic and rehydration therapy) clinical improvement with no
complications occurred, with complete resolution of changes in the white
matter observed on CT and MR. Conclusion. PRES is a reversible syndrome in
which the symptoms withdraw after several days to several weeks if early
diagnosis is made and appropriate treatment started without delay. |
| format | Article |
| id | doaj-art-637dd663f9e04754a96eefdb36943720 |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-637dd663f9e04754a96eefdb369437202025-08-20T03:19:31ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202015-01-0172873573910.2298/VSP140529053K0042-84501400053KPosterior reversible encephalopathy syndrome: A case reportKostić Dejan0Brkić-Georgievski Biljana1Jovanovski Aleksandar2Kostić Smiljana3Ivetić Dražen4Sekulović Leposava5Military Medical Academy, Institute of Radiology, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaSpecial Hospital for Cerebrovascular Diseases „Sveti Sava“, Belgrade, SerbiaMilitary Medical Academy, Institute of Radiology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Neurology, Belgrade, SerbiaMilitary Medical Academy, Clinic for Neurosurgery, Belgrade, SerbiaMilitary Medical Academy, Institute of Radiology, Belgrade, Serbia + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaPosterior reversible encephalopathy syndrome (PRES) is characterized by the following symptoms: seizures, impaired consciousness and/or vision, vomiting, nausea, and focal neurological signs. Diagnostic imaging includes examination by magnetic resonance (MR) and computed tomography (CT), where brain edema is visualized bi-laterally and symmetrically, predominantly posteriorly, parietally, and occipitally. Case report. We presented a 73-year-old patient with the years-long medical history of hipertension and renal insufficiency, who developed PRES with the symptomatology of the rear cranium. CT and MR verified changes in the white matter involving all lobes on both sides of the brain. After a two-week treatment (antihypertensive, hypolipemic and rehydration therapy) clinical improvement with no complications occurred, with complete resolution of changes in the white matter observed on CT and MR. Conclusion. PRES is a reversible syndrome in which the symptoms withdraw after several days to several weeks if early diagnosis is made and appropriate treatment started without delay.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400053K.pdfbrain diseasessyndromediagnosistreatment outcome |
| spellingShingle | Kostić Dejan Brkić-Georgievski Biljana Jovanovski Aleksandar Kostić Smiljana Ivetić Dražen Sekulović Leposava Posterior reversible encephalopathy syndrome: A case report Vojnosanitetski Pregled brain diseases syndrome diagnosis treatment outcome |
| title | Posterior reversible encephalopathy syndrome: A case report |
| title_full | Posterior reversible encephalopathy syndrome: A case report |
| title_fullStr | Posterior reversible encephalopathy syndrome: A case report |
| title_full_unstemmed | Posterior reversible encephalopathy syndrome: A case report |
| title_short | Posterior reversible encephalopathy syndrome: A case report |
| title_sort | posterior reversible encephalopathy syndrome a case report |
| topic | brain diseases syndrome diagnosis treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501400053K.pdf |
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