Atypical Unilateral Posterior Reversible Encephalopathy Syndrome Mimicking a Middle Cerebral Artery Infarction
Korean Journal of Radiology
;
: 1104-1108, 2015.
Article
in English
| WPRIM
| ID: wpr-163292
ABSTRACT
Posterior reversible encephalopathy syndrome (PRES) is usually a reversible clinical and radiological entity associated with typical features on brain MR or CT imaging. However, the not-so-uncommon atypical radiological presentations of the condition are also present and they may go unrecognised as they are confused with other conditions. Here, we report a very rare case of atypical, unilateral PRES in a 49-year-old uremic, post-transplant female patient who presented with seizures. Initial MRI showed high-grade occlusion of the left middle cerebral artery (MCA) and lesions suggestive of subacute infarction in the ipsilateral frontotemporoparietal lobe. Patient symptoms had resolved a day after the onset without any specific treatment but early follow-up CT findings suggested hemorrhagic transformation. Follow-up MRI performed 2 years later showed complete disappearence of the lesions and persisting MCA occlusion.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Brain
/
Magnetic Resonance Imaging
/
Tomography, X-Ray Computed
/
Lung Transplantation
/
Infarction, Middle Cerebral Artery
/
Diagnosis, Differential
/
Posterior Leukoencephalopathy Syndrome
/
Acute Kidney Injury
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
Korean Journal of Radiology
Year:
2015
Type:
Article
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