Agarwal Himanshu, Sebastian Leve Joseph Devarajan, Gaikwad Shailesh B, Garg Ajay, Mishra Nalini Kant
Department of Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.
BJR Case Rep. 2016 Oct 20;2(1):20150326. doi: 10.1259/bjrcr.20150326. eCollection 2016.
Although posterior reversible encephalopathy syndrome (PRES) is a widely encountered clinicoradiological entity, spinal cord involvement on MRI is very rarely reported. We found only eight cases that have been reported so far. Reports of post-contrast meningeal or parenchymal enhancement in PRES are even rarer. Herein we report a case of PRES with extensive spinal cord signal abnormality with contrast enhancement. Familiarity with this rare imaging finding of PRES, in the appropriate clinical setting, will avoid unnecessary investigations and inappropriate treatment.
尽管后部可逆性脑病综合征（PRES）是一种常见的临床放射学实体，但MRI显示脊髓受累的情况却鲜有报道。到目前为止，我们仅发现8例相关报道。PRES中造影剂增强后脑膜或实质强化的报道更为罕见。在此，我们报告一例PRES病例，其脊髓信号广泛异常并伴有造影剂增强。在适当的临床背景下，熟悉PRES这种罕见的影像学表现，将避免不必要的检查和不恰当的治疗。
