Posterior reversible encephalopathy syndrome (PRES)

Case contributed by Mohamed Mahmoud Elthokapy
Diagnosis certain

Presentation

Post-streptococcal glomerulonephritis is presented by hematuria and seizures with a hypertensive crisis.

Patient Data

Age: 10 years
Gender: Male

Symmetric T2 and FLAIR hyperintense signals in bilateral parieto-occipital lobes involving the cortex and juxtacortical white matter with minimal focal areas of diffusion restriction in high vertex.

No blooming in gradient images to suggest microhemorrhage.

Case Discussion

In posterior reversible encephalopathy syndrome (PRES), there is vasogenic edema along the occipital and parietal regions, relating to the posterior cerebral artery supply. The edema is usually symmetrical.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.