Malomo Keneilwe, Ntlholang Ontefetse
Department of medicine for the elderly, Connolly Hospital, Blanchardstown, Ireland.
Medicine for the elderly directorate, St James Hospital, Dublin 8, Ireland.
Eur J Case Rep Intern Med. 2016 Feb 29;3(3):000376. doi: 10.12890/2016_000376. eCollection 2016.
Posterior reversible encephalopathy syndrome (PRES) is a clinico-neuro-radiological diagnosis, which can complicate a wide range of conditions. Clinical features include generalised and/or focal neurological deficits. These features are also present in neurovascular disorders, such as stroke. Currently, emphasis in the management of hyperacute stroke is thrombolysis, and it is important to bear in mind stroke mimics as a possible cause of clinical features. The Authors present the case of a 66-year-old man, who presented with acute focal neurological deficit. His brain imaging and history were consistent with PRES.
Posterior reversible encephalopathy syndrome (PRES) should be considered as a possibility in hyperacute stroke, especially those with posterior cerebral symptoms and signs.Serial CT brain scanning may be helpful when MRI is unavailable or contraindicated.Early recognition and management of this syndrome would prevent permanent brain damage and unnecessary investigations and treatments.
后部可逆性脑病综合征（PRES）是一种临床神经放射学诊断，可并发多种疾病。临床特征包括全身性和/或局灶性神经功能缺损。这些特征在神经血管疾病如中风中也会出现。目前，超急性中风治疗的重点是溶栓，记住中风模仿症是临床特征的可能原因很重要。作者介绍了一名66岁男性的病例，他出现急性局灶性神经功能缺损。他的脑部影像学检查和病史与PRES相符。
在超急性中风中，尤其是那些有大脑后部症状和体征的中风，应考虑后部可逆性脑病综合征（PRES）的可能性。当无法进行MRI或MRI有禁忌时，连续脑部CT扫描可能会有帮助。早期识别和处理该综合征可预防永久性脑损伤以及不必要的检查和治疗。
