Posterior reversible encephalopathy syndrome (PRES) of the isolated brainstem. Issue 4 (7th April 2022)

• Record Type: Journal Article
• Authors: Hayashi, Yosuke; Hashida, Tomoaki; Yazaki, Megumi; Uchida, Tomohiko; Watanabe, Eizo
• Is Part Of: Clinical case reports. Volume 10:Issue 4(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-04-07
• Subjects: brain edema -- emergency medicine -- hypertension -- magnetic resonance imaging -- neurology -- pons; Medicine -- Periodicals; 616.09
• DOI: 10.1002/ccr3.5712
• Languages: English
• ISSNs: 2050-0904

Abstract

Abstract: A 71‐year‐old man had disordered consciousness whose Glasgow Coma Scale was E4V1M5. His blood pressure was high, but there was no abnormality in the cerebrospinal fluid examination. The MRI finding reveals a high‐intensity area at the pons without the blood flow interruption. Thus, he has diagnosed with brainstem PRES. Abstract : The typical MRI finding of PRES is the presence of a symmetric vasogenic edema in the parietal and occipital lobes. However, up to the 27% of cases occur at the brainstem, and it is imperative to remember this less frequent localization.