Godasi Raja, Rupareliya Chintan, Bollu Pradeep C
Department of Neurology, University of Missouri, Columbia, Missouri.
Cureus. 2017 Oct 4;9(10):e1746. doi: 10.7759/cureus.1746.
Posterior reversible encephalopathy syndrome (PRES) or reversible posterior leukoencephalopathy (RPL) is an acute neurological syndrome characterized by the development of radiological abnormalities on brain imaging along with clinical manifestations, such as a headache, seizures, encephalopathy, etc. We report the case of a middle-aged male who presented to the emergency department after he woke up with complete blindness and was found to have hemorrhagic PRES. Intracranial hemorrhages were seen in around 15% of patients who presented with this condition. In this article, we review the different types of hemorrhages seen in the setting of PRES and their associations.
后部可逆性脑病综合征(PRES)或可逆性后部白质脑病(RPL)是一种急性神经综合征,其特征是脑成像出现放射学异常并伴有头痛、癫痫发作、脑病等临床表现。我们报告一例中年男性病例,该患者醒来后完全失明,随后到急诊科就诊,被诊断为出血性PRES。患有这种疾病的患者中约15%会出现颅内出血。在本文中,我们回顾了在PRES情况下所见的不同类型出血及其关联。