Horcea-Milcu A, Kharchenko V, Mommsen M, Schaumberg J
HELIOS Klinikum Uelzen, Akademisches Lehrkrankenhaus, Medizinische Hochschule Hannover, Hagenskamp 34, 29525, Uelzen, Deutschland.
Institute für Radiologie, KHWE, Klinikum Weser-Egge - Akademisches Lehrkrankenhaus der Universität Göttingen, Brenkhäuser Str. 71, 37671, Höxter, Deutschland.
Nervenarzt. 2020 Apr;91(4):343-348. doi: 10.1007/s00115-020-00877-1.
Posterior reversible encephalopathy (PRES) is a clinical syndrome characterized by headaches, seizures, cortical blindness, and altered mental status up to coma and by a radiological syndrome defined by edematous alteration on Magnetic Resonance Imaging (MRI)-Scans of the white matter. In the following, we present the case of a 73 years old post-operative patient with PRES in the context of hypertension and endocarditis with E. coli. The initial presentation included a series of seizures, sopor, and cortical blindness. In MRI-Scans a marked cerebral edema could be identified. After successful treatment of underlying conditions, the patient has made a good recovery. However, homonymous hemianopsia towards right due to laminar necrosis in the left occipital lobe remained as a residuum.