ABSTRACT
OBJECTIVE: To identify a correlation between systolicdiastolic blood pressure (BP) and severity of clinical/radiological presentations in patients with posterior reversible encephalopathy syndrome (PRES). MATERIAL AND METHODS: Clinical and paraclinic data of patients with PRES hospitalized in the Republican Clinical Hospital, Kazan in 2010-2018 were analyzed. Nineteen patients were found, all of them were women, aged 18-67 years, mean age 33.50±15.03 years. Clinical and paraclinic data included anamnesis, neurological examination, neuroimaging, first measurements of systolic and diastolic BP after symptoms'onset. RESULTS AND CONCLUSION: Diastolic BP values can be associated with the incidence of depression of consciousness, systolic BP values - with the number of damaged structures. In total, BP is the significant factor implemented in the presence of endothelial dysfunction that defines the severity of encephalopathy.
Subject(s)
Hypertension , Posterior Leukoencephalopathy Syndrome , Adolescent , Adult , Aged , Blood Pressure , Blood Pressure Determination , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Neuroimaging , Young AdultABSTRACT
AIM: Identification of clinical and paraclinic signs that are significant for the diagnosis of transient vertebrobasilar ischemia in patients with temporary brainstem, cerebellar or occipital dysfunction. MATERIAL AND METHODS: Clinical, anamnestic and instrumental data of 126 patients hospitalized in stroke unit with the diagnosis of vertebrobasilar acute cerebrovascular event, including patients with proposed stroke diagnosis at admission that was not confirmed later, were obtained and analyzed. RESULTS AND CONCLUSION: Significant clinical and paraclinic signs for differential diagnosis of transient vertebrobasilar ischemia and vertebrobasilar ischemia mimics were identified.
