Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic

We present the case of a 33-year-old male with end stage renal disease presenting to the emergency department (ED) with headache, dizziness, and unilateral weakness. Initial concern was for ischemic or hemorrhagic stroke. Magnetic resonance imaging confirmed posterior reversible encephalopathy syndr...

Descripción completa

Detalles Bibliográficos
Autores principales: Frick, Daniel, Huecker, Martin, Shoff, Hugh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965162/
https://www.ncbi.nlm.nih.gov/pubmed/29849301
http://dx.doi.org/10.5811/cpcem.2017.1.30607
_version_ 1783325307675082752
author Frick, Daniel
Huecker, Martin
Shoff, Hugh
author_facet Frick, Daniel
Huecker, Martin
Shoff, Hugh
author_sort Frick, Daniel
collection PubMed
description We present the case of a 33-year-old male with end stage renal disease presenting to the emergency department (ED) with headache, dizziness, and unilateral weakness. Initial concern was for ischemic or hemorrhagic stroke. Magnetic resonance imaging confirmed posterior reversible encephalopathy syndrome (PRES). The patient was treated appropriately and made a full neurologic recovery. PRES is an under-recognized diagnosis in the ED. As a stroke mimic, PRES can lead the clinician on an incorrect diagnostic pathway with potential for iatrogenic harm.
format Online
Article
Text
id pubmed-5965162
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
record_format MEDLINE/PubMed
spelling pubmed-59651622018-05-30 Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic Frick, Daniel Huecker, Martin Shoff, Hugh Clin Pract Cases Emerg Med Case Report We present the case of a 33-year-old male with end stage renal disease presenting to the emergency department (ED) with headache, dizziness, and unilateral weakness. Initial concern was for ischemic or hemorrhagic stroke. Magnetic resonance imaging confirmed posterior reversible encephalopathy syndrome (PRES). The patient was treated appropriately and made a full neurologic recovery. PRES is an under-recognized diagnosis in the ED. As a stroke mimic, PRES can lead the clinician on an incorrect diagnostic pathway with potential for iatrogenic harm. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017-05-09 /pmc/articles/PMC5965162/ /pubmed/29849301 http://dx.doi.org/10.5811/cpcem.2017.1.30607 Text en © 2017 Frick et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Case Report
Frick, Daniel
Huecker, Martin
Shoff, Hugh
Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic
title Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic
title_full Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic
title_fullStr Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic
title_full_unstemmed Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic
title_short Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic
title_sort posterior reversible encephalopathy syndrome presenting as stroke mimic
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965162/
https://www.ncbi.nlm.nih.gov/pubmed/29849301
http://dx.doi.org/10.5811/cpcem.2017.1.30607
work_keys_str_mv AT frickdaniel posteriorreversibleencephalopathysyndromepresentingasstrokemimic
AT hueckermartin posteriorreversibleencephalopathysyndromepresentingasstrokemimic
AT shoffhugh posteriorreversibleencephalopathysyndromepresentingasstrokemimic

Ejemplares similares