Posterior reversible encephalopathy syndrome: Difference between revisions
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==Background== | ==Background== | ||
*Caused by: | *Caused by: | ||
**[[Hypertensive Emergency|Hypertensive Encephalopathy]] | **[[Hypertensive Emergency|Hypertensive Encephalopathy]] | ||
**Immunosuppresion | **Immunosuppresion | ||
**[[Renal Failure|Uremia]] with HTN | **[[Renal Failure|Uremia]] with HTN | ||
==Clinical Presentation== | *Newly recognized, described in 1996<ref> Hinchey J, et al. "A reversible posterior leukoencephalopathy syndrome". PMID 8559202</ref> | ||
==Clinical Presentation <ref>Staykov D. "Posterior reversible encephalopathy syndrome". PMID 21257628</ref>== | |||
*[[Seizures]] | *[[Seizures]] | ||
*[[Hypertension]] | *[[Hypertension]] | ||
Revision as of 20:59, 24 April 2015
Background
- Caused by:
- Hypertensive Encephalopathy
- Immunosuppresion
- Uremia with HTN
- Newly recognized, described in 1996[1]
Clinical Presentation [2]
- Seizures
- Hypertension
- Encephalopathy/Altered Mental Status
- Visual Disturbances
- Vomiting
- Headache
Differential Diagnosis[3]
- 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
References
- ↑ Hinchey J, et al. "A reversible posterior leukoencephalopathy syndrome". PMID 8559202
- ↑ Staykov D. "Posterior reversible encephalopathy syndrome". PMID 21257628
- ↑ 3.0 3.1 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