Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report
We describe an unusual presentation of posterior reversible encephalopathy syndrome (PRES) with predominant posterior fossa edema, causing ascending transtentorial herniation, tonsillar herniation, and obstructive hydrocephalus. MR imaging with additional MR spectroscopy and MR perfusion helped disc...
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th-mahidol.127312018-05-03T15:37:57Z Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report Chewarat Wirojtananugoon J. Laothamatas Mahidol University Medicine We describe an unusual presentation of posterior reversible encephalopathy syndrome (PRES) with predominant posterior fossa edema, causing ascending transtentorial herniation, tonsillar herniation, and obstructive hydrocephalus. MR imaging with additional MR spectroscopy and MR perfusion helped discriminate PRES from infiltrative tumor, and supported the pathogenesis of hydrostatic edema. Infusion of an antihypertensive drug was promptly administered. Diversion of cerebrospinal fluid by ventriculostomy was subsequently performed. However, the patient developed thalamic hemorrhage and secondary intraventricular hemorrhage with contralateral hemiparesis. Awareness of this rare cause of obstructive hydrocephalus with aggressive treatment of high blood pressure may help obviate the need of ventriculostomy and may prevent the hemorrhagic complication. 2018-05-03T08:37:57Z 2018-05-03T08:37:57Z 2011-01-01 Article Neuroradiology Journal. Vol.24, No.2 (2011), 258-263 10.1177/197140091102400215 19714009 2-s2.0-79958831633 https://repository.li.mahidol.ac.th/handle/123456789/12731 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79958831633&origin=inward |
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Medicine Chewarat Wirojtananugoon J. Laothamatas Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report |
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We describe an unusual presentation of posterior reversible encephalopathy syndrome (PRES) with predominant posterior fossa edema, causing ascending transtentorial herniation, tonsillar herniation, and obstructive hydrocephalus. MR imaging with additional MR spectroscopy and MR perfusion helped discriminate PRES from infiltrative tumor, and supported the pathogenesis of hydrostatic edema. Infusion of an antihypertensive drug was promptly administered. Diversion of cerebrospinal fluid by ventriculostomy was subsequently performed. However, the patient developed thalamic hemorrhage and secondary intraventricular hemorrhage with contralateral hemiparesis. Awareness of this rare cause of obstructive hydrocephalus with aggressive treatment of high blood pressure may help obviate the need of ventriculostomy and may prevent the hemorrhagic complication. |
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Mahidol University |
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Mahidol University Chewarat Wirojtananugoon J. Laothamatas |
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Article |
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Chewarat Wirojtananugoon J. Laothamatas |
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Chewarat Wirojtananugoon |
title |
Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report |
title_short |
Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report |
title_full |
Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report |
title_fullStr |
Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report |
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Posterior reversible encephalopathy syndrome with obstructive hydrocephalus: A case report |
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posterior reversible encephalopathy syndrome with obstructive hydrocephalus: a case report |
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2018 |
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https://repository.li.mahidol.ac.th/handle/123456789/12731 |
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