| Posterior Reversible Encephalopathy syndrome (PRES) |
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| Monday, 24 May 2010 14:10 |
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History (HX): Headache-seizure, blurred vision, systemic hypertension and recent childbearing (CS 5 days ago) Female 22years Findings: Bilateral parieto-occipital and frontal T2-hyperintension cortical / subcortical lesions .
Diagnosis (DX):Posterior Reversible Encephalopathy syndrome (PRES)
Discussion : Disorder of cerebrovascular autoregulation with multiple etiologies, most of which cause acute hypertension. This heads to hyperperfusion and BBB disruption with escape of fluid from the intravascular component into the interstitium (subcortical edema) but without infarction of the brain. |
