Atypical presentation of posterior reversible encephalopathy syndrome: Clinical and radiological characteristics in eclamptic patients

  • Aleksandra Aracki-Trenkić Clinical Center Nis, Nis
  • Dragan Stojanov Clinical Center Nis, Nis; Faculty of Medicine, University of Nis, Nis
  • Milan Trenkić Clinical Center Nis, Nis
  • Zoran Radovanović Clinical Center Nis, Nis; Faculty of Medicine, University of Nis, Nis
  • Jelena Ignjatović Clinical Center Nis, Nis
  • Saša Ristić Clinical Center Nis, Nis
  • Marija Trenkić-Bozinović Clinical Center Nis, Nis; Faculty of Medicine, University of Nis, Nis
Keywords: Posterior reversible encephalopathy syndrome, magnetic resonance, computed tomography, brain, vasogenic edema

Abstract

Posterior reversible encephalopathy syndrome (PRES) is an obstetric emergency frequently occurring in a pregnant or puerperal woman, manifested with an acute headache, consciousness impairment, seizures, and visual deficits and is associated with white matter changes predominantly affecting the posterior parietal and occipital lobes of the brain. Apart from the above-described typical location of the changes, the most common atypical location involves the brain stem and basal ganglia. Since magnetic resonance imaging (MRI) is more sensitive and specific imaging technique compared to computerized tomography, establishing the diagnosis and follow-up in patients with PRES is based mainly on MRI findings. It is particularly important not to exclude PRES as a possible diagnosis when we have the appropriate clinical presentation accompanied by the atypical radiological findings, since this clinical-radiological syndrome can often be manifested with an atypical MRI image.

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Author Biographies

Aleksandra Aracki-Trenkić, Clinical Center Nis, Nis
Department of Radiology
Dragan Stojanov, Clinical Center Nis, Nis; Faculty of Medicine, University of Nis, Nis
Department of Radiology
Milan Trenkić, Clinical Center Nis, Nis
Departemnt of Obstetrics and Gynecology
Zoran Radovanović, Clinical Center Nis, Nis; Faculty of Medicine, University of Nis, Nis
Department of Radiology
Jelena Ignjatović, Clinical Center Nis, Nis
Department of Radiology
Saša Ristić, Clinical Center Nis, Nis
Department of Radiology
Marija Trenkić-Bozinović, Clinical Center Nis, Nis; Faculty of Medicine, University of Nis, Nis
Department of Ophthalmology

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Published
2016-08-02
How to Cite
1.
Aracki-Trenkić A, Stojanov D, Trenkić M, Radovanović Z, Ignjatović J, Ristić S, Trenkić-Bozinović M. Atypical presentation of posterior reversible encephalopathy syndrome: Clinical and radiological characteristics in eclamptic patients. Bosn J of Basic Med Sci [Internet]. 2016Aug.2 [cited 2019Nov.14];16(3):180-6. Available from: http://bjbms.org/ojs/index.php/bjbms/article/view/1201
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Reviews