A RARE CASE OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME

Dr. Lahari. N

Abstract


INTRODUCTION
Posterior Reversible Encephalopathy Syndrome also known as
Reversible posterior leukoencephalopathy. Incidence of PRES is 4-7%
in all pregnancies. PRES presents with rapid onset of symptoms
including headache, seizures, altered consciousness, and visual
disturbances. It is often, but by no means always associated with acute
hypertension. If promptly recognized and treated, the clinical
syndrome usually resolves within a week and the changes seen in
magnetic resonance imaging (MRI) resolve over days to weeks (1,2,3).
Chronic kidney disease and acute kidney injury are both commonly
present in patients with PRES, and PRES is strongly associated with
conditions that co-exist in patients with renal disease, such as
hypertension, vascular and autoimmune diseases, exposure to
immunosuppressive drugs, and organ transplantation. It is therefore
important to consider PRES in the differential diagnosis of patients
with renal disease and rapidly progressive neurologic symptoms(4).
Posterior reversible encephalopathy syndrome is an increasingly
recognized disorder, with a wide clinical spectrum of both symptoms
and triggers, and yet it remains poorly understood.


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References


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