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Posterior reversible encephalopathy syndrome with isolated infratentorial involvement: A case report

Amjad Samara, MD, Brent Berry, MD,PhD, Malik Ghannam, MBBCh

Radiology Case Reports · 2019

doi:10.1016/j.radcr.2019.02.009 (opens in a new tab)

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Abstract

Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological entity of acute neurological symptoms associated with characteristic MRI finding. Vasogenic edema in the white matter of parieto-occipital regions is the classical MRI findings. Spinal cord involvement in PRES is extremely rare and frequently underrecognized condition. Recently, a variant-type PRES with isolated involvement of infratentorial structures is getting more attention. Herein, we present a case of hypertensive emergency and associated radiological features of PRES with isolated involvement of the brain stem, cerebellum, and spinal cord. Keywords: Posterior reversible encephalopathy syndrome, Spinal cord involvement, Infratentorial structures, Hypertensive emergency

Abstract licence: CC BY-NC-ND

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