2017, Number 3
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Rev Mex Neuroci 2017; 18 (3)
Posterior reversible encephalopathy syndrome: a case report
Silva-Sieger FA, Salas-Guerra AJ, Guerrero GCF, Castellanos-Prada JA
Language: Spanish
References: 23
Page: 88-95
PDF size: 591.96 Kb.
ABSTRACT
Introduction. Posterior reversible encephalopathy syndrome
(PRES) is characterized by headache, visual symptoms, seizures,
impaired consciousness, reversible edema secondary to white matter
and diagnostic is supported on the use of radiological images. It is
usually presented as a single episode, but 4 to 11% can be recurrent.
Objective. To present the case of a patient with recurrent EPR
followed by 30 months.
Case report. Patient 38 years with throbbing headache and visual
symptoms. Almost one year later he has a second EPR episode with
of the contralateral hemisphere involvement. During follow-up is not
achieved identify or precipitating factors.
Conclusions. The EPR is a disease of low incidence, usually
reversible and with the possibility of recurrence. Despite all the
studies and monitoring conducted, as in the case studied, it could
not be a condition associated. There is no evidence that ganglionic
tuberculosis could be related to the presence and recurrence of this
disease.
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