Tags

Type your tag names separated by a space and hit enter

Isolated pontine involvement in posterior reversible encephalopathy syndrome with coincidental acute ischaemic stroke.
BMJ Case Rep. 2019 Apr 16; 12(4)BC

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a cliniconeuroradiological syndrome characterised by a unique reversible pattern on imaging and total regression of clinical symptoms and signs. We describe an unusual case of PRES with isolated pontine involvement with coincidental acute ischaemic stroke in a 60-year-old man who presented with headache, unsteadiness of gait, blurred vision and elevated blood pressure. MRI scan revealed an expanded pons with diffuse T2 and Fluid attenuated Inversion Recovery (FLAIR) hyperintensities and an acute infarct in the right temporal lobe. A diagnosis of PRES was considered most likely after exclusion of other differentials and the patient was started on antihypertensive treatment as for hypertensive encephalopathy. He became asymptomatic after controlling blood pressure and the follow-up MRI scan at 3 weeks showed complete resolution of the pontine high signals which confirmed the diagnosis of PRES.

Authors+Show Affiliations

Stroke, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, UK.Radiology, Basildon & Thurrock University Hospitals, Basildon, UK.DMOP, Basildon University Hospital, Basildon, Essex, UK.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30996063

Citation

Wijenayake Galagamage, Indunil Deepthi Kumara, et al. "Isolated Pontine Involvement in Posterior Reversible Encephalopathy Syndrome With Coincidental Acute Ischaemic Stroke." BMJ Case Reports, vol. 12, no. 4, 2019.
Wijenayake Galagamage IDK, Sujith A, Kiringodage AK. Isolated pontine involvement in posterior reversible encephalopathy syndrome with coincidental acute ischaemic stroke. BMJ Case Rep. 2019;12(4).
Wijenayake Galagamage, I. D. K., Sujith, A., & Kiringodage, A. K. (2019). Isolated pontine involvement in posterior reversible encephalopathy syndrome with coincidental acute ischaemic stroke. BMJ Case Reports, 12(4). https://doi.org/10.1136/bcr-2018-227132
Wijenayake Galagamage IDK, Sujith A, Kiringodage AK. Isolated Pontine Involvement in Posterior Reversible Encephalopathy Syndrome With Coincidental Acute Ischaemic Stroke. BMJ Case Rep. 2019 Apr 16;12(4) PubMed PMID: 30996063.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Isolated pontine involvement in posterior reversible encephalopathy syndrome with coincidental acute ischaemic stroke. AU - Wijenayake Galagamage,Indunil Deepthi Kumara, AU - Sujith,Anjali, AU - Kiringodage,Ajith Kumara, Y1 - 2019/04/16/ PY - 2019/4/19/entrez PY - 2019/4/19/pubmed PY - 2019/9/7/medline KW - brain stem / cerebellum KW - hypertension KW - stroke JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 4 N2 - Posterior reversible encephalopathy syndrome (PRES) is a cliniconeuroradiological syndrome characterised by a unique reversible pattern on imaging and total regression of clinical symptoms and signs. We describe an unusual case of PRES with isolated pontine involvement with coincidental acute ischaemic stroke in a 60-year-old man who presented with headache, unsteadiness of gait, blurred vision and elevated blood pressure. MRI scan revealed an expanded pons with diffuse T2 and Fluid attenuated Inversion Recovery (FLAIR) hyperintensities and an acute infarct in the right temporal lobe. A diagnosis of PRES was considered most likely after exclusion of other differentials and the patient was started on antihypertensive treatment as for hypertensive encephalopathy. He became asymptomatic after controlling blood pressure and the follow-up MRI scan at 3 weeks showed complete resolution of the pontine high signals which confirmed the diagnosis of PRES. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/30996063/Isolated_pontine_involvement_in_posterior_reversible_encephalopathy_syndrome_with_coincidental_acute_ischaemic_stroke. L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=30996063 DB - PRIME DP - Unbound Medicine ER -