Diagnostic and Interventional Radiology
Neuroradiology - Case Report 2016

Recurrent posterior reversible encephalopathy syndrome in a hypertensive patient with end-stage renal disease

1.

Departments of Radiology, Başkent University School of Medicine, Antalya, Turkey

2.

Departments of Neurology, Başkent University School of Medicine, Antalya, Turkey

Diagn Interv Radiol 2008; 14: 182-185
Read: 841 Downloads: 505 Published: 03 September 2019

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiologic entity characterized by headache, variable mental status, epilepsy, visual disturbances, and typical transient changes in the posterior cerebral perfusion. Recurrence of PRES is not common, but increasingly in recent years, studies demonstrate recurrence of this syndrome in populations with different diseases. In this report, we describe recurrent PRES in a hypertensive patient with end-stage renal disease, and discuss recurrence as the least-characterized feature of PRES. This condition can cause neurological sequelae such as persistent brain damage and epilepsy, arising from delays in diagnosis and therapy. To the best of our knowledge, this is the first report demonstrating recurrent PRES in a patient on hemodialysis for end-stage renal disease.

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EISSN 1305-3612