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Recurrent posterior reversible encephalopathy syndrome (PRES)
G Hagemann1, T Ugur, O W Witte
1Department of Neurology, Friedrich-Schiller-University, Jena, Germany. hagemann@med.uni-jena.de
Journal of Human Hypertension
|March 24, 2004
Summary
Posterior reversible encephalopathy syndrome (PRES) is a reversible neurological condition. Early diagnosis and treatment are crucial for preventing lasting deficits, especially in recurrent or unknown cases.
Area of Science:
- Neurology
- Radiology
- Nephrology
Background:
- Posterior reversible encephalopathy syndrome (PRES) is a cliniconeuroradiological condition.
- It presents with headache, altered mental status, seizures, and focal neurological deficits.
- Common etiologies include hypertension, pre-eclampsia, and certain immunosuppressants.
Observation:
- This report details a case of recurrent PRES.
- The patient had undergone intensive care unit treatment.
- The patient exhibited only moderately elevated blood pressure, with an unknown underlying etiology.
Findings:
- PRES is typically reversible with prompt diagnosis and treatment.
- Recurrent PRES, even with moderate hypertension, poses diagnostic challenges.
- Underlying causes for recurrent PRES can remain elusive.
Implications:
- Increased awareness among clinicians and radiologists is vital for timely diagnosis.
- Prompt management of PRES is essential to avoid persistent neurological deficits.
- Further research into the diverse etiologies of recurrent PRES is warranted.