Posterior reversible encephalopathy syndrome: Difference between revisions
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==Background== | ==Background== | ||
*Newly recognized, described in 1996<ref> | *Newly recognized, described in 1996<ref> Hinchey J, et al. "A reversible posterior leukoencephalopathy syndrome". PMID 8559202</ref> | ||
*Caused by: | *Caused by: | ||
**[[Hypertensive Emergency|Hypertensive Encephalopathy]] | **[[Hypertensive Emergency|Hypertensive Encephalopathy]] | ||
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*Vomiting | *Vomiting | ||
*Headache | *Headache | ||
==Differential Diagnosis== | ==Differential Diagnosis<ref>Garg RK (January 2001). "Posterior leukoencephalopathy syndrome". Postgrad Med J 77 (903): 24–8. doi:10.1136/pmj.77.903.24. PMC 1741870. PMID 11123390</ref>== | ||
*[[Eclampsia]] | *[[Eclampsia]] | ||
*Vascular | *Vascular | ||
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==Diagnosis== | ==Diagnosis== | ||
*MRI shows cerebral edema, especially in posterior circulation | *MRI shows cerebral edema, especially in posterior circulation<ref>Garg RK (January 2001). "Posterior leukoencephalopathy syndrome". Postgrad Med J 77 (903): 24–8. doi:10.1136/pmj.77.903.24. PMC 1741870. PMID 11123390</ref> | ||
==Management== | ==Management== |
Revision as of 20:47, 23 April 2015
Background
- Newly recognized, described in 1996[1]
- Caused by:
- Hypertensive Encephalopathy
- Immunosuppresion
- Uremia with HTN
Clinical Presentation
- Seizures
- Hypertension
- Encephalopathy/Altered Mental Status
- Visual Disturbances
- Vomiting
- Headache
Differential Diagnosis[2]
- Eclampsia
- Vascular
- Hypertensive Encephalopathy
- CVA
- Intracranial Hemorrhage
- Central Venous Thrombosis
- Infectious
- Metabolic
- Hepatic Encephalopathy
- Hyponatremia
- Porphyria
- Demyelinating Disorders
- Psychiatric disorder
Workup
- Focus on AMS workup, with PRES as diagnosis of exclusion
Diagnosis
- MRI shows cerebral edema, especially in posterior circulation[3]
Management
- Control Blood Pressure
- Discontinue Immunosupprants
Disposition
- Admit
NB - Cardiac Transplant patients are at high risk, with relative hypertension and on immunosuppressants
See Also
External Links
References
- ↑ Hinchey J, et al. "A reversible posterior leukoencephalopathy syndrome". PMID 8559202
- ↑ Garg RK (January 2001). "Posterior leukoencephalopathy syndrome". Postgrad Med J 77 (903): 24–8. doi:10.1136/pmj.77.903.24. PMC 1741870. PMID 11123390
- ↑ Garg RK (January 2001). "Posterior leukoencephalopathy syndrome". Postgrad Med J 77 (903): 24–8. doi:10.1136/pmj.77.903.24. PMC 1741870. PMID 11123390