Posterior reversible encephalopathy syndrome

Case contributed by Dr Ahmed Abdrabou

Presentation

Acute confusion and headache. History of recent cesarean section.

Patient Data

Age: 25 years old
Gender: Female

Bilateral symmetrical altered signal intensity of the subcortical white matter of occipital, parietal, posterior temporal and extending to the frontal lobes. they display bright signal on T2 and FLAIR, low T1 signal, no restriction of diffusion on DWI yet there is T2 shine through effect and no significant enhancement on post contrast scan. No significant mass effect. 

Case Discussion

The clinical history and MR findings are classic for PRES which can involve the anterior circulation as well making it misnomer. The patient received steroids and responded well. 

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Case information

rID: 67154
Published: 22nd Mar 2019
Last edited: 7th Sep 2019
Inclusion in quiz mode: Included
Institution: Ain Shams University

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