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Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()

Posterior reversible encephalopathy syndrome, an acute onset neurological syndrome, is among the conditions that must be differentiated from stroke. Herein, we report a rare case of posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke. A 68-year-old man was transferred by...

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Autores principales: Yamaguchi, Soichiro, Endo, Hideki, Hiratsuka, Yuma, Nakamura, Hirohiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234533/
https://www.ncbi.nlm.nih.gov/pubmed/35769122
http://dx.doi.org/10.1016/j.radcr.2022.06.013
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author Yamaguchi, Soichiro
Endo, Hideki
Hiratsuka, Yuma
Nakamura, Hirohiko
author_facet Yamaguchi, Soichiro
Endo, Hideki
Hiratsuka, Yuma
Nakamura, Hirohiko
author_sort Yamaguchi, Soichiro
collection PubMed
description Posterior reversible encephalopathy syndrome, an acute onset neurological syndrome, is among the conditions that must be differentiated from stroke. Herein, we report a rare case of posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke. A 68-year-old man was transferred by ambulance to our hospital because of visual disturbance. He showed left homonymous hemianopsia. Magnetic resonance imaging (diffusion-weighted imaging and fluid-attenuated inversion recovery imaging) revealed high signal intensity in the right occipital lobe. We suspected subacute cerebral infarction. After admission, he developed cortical blindness and increased blood pressure. Fluid-attenuated inversion recovery imaging revealed high signal intensity and elevated apparent diffusion coefficient values in the bilateral occipital lobes. We diagnosed the patient with posterior reversible encephalopathy syndrome. Antihypertensive treatment improved his clinical symptoms. Careful imaging assessment, including of changes over time, is important for diagnosing posterior reversible encephalopathy syndrome.
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spelling pubmed-92345332022-06-28 Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report() Yamaguchi, Soichiro Endo, Hideki Hiratsuka, Yuma Nakamura, Hirohiko Radiol Case Rep Case Report Posterior reversible encephalopathy syndrome, an acute onset neurological syndrome, is among the conditions that must be differentiated from stroke. Herein, we report a rare case of posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke. A 68-year-old man was transferred by ambulance to our hospital because of visual disturbance. He showed left homonymous hemianopsia. Magnetic resonance imaging (diffusion-weighted imaging and fluid-attenuated inversion recovery imaging) revealed high signal intensity in the right occipital lobe. We suspected subacute cerebral infarction. After admission, he developed cortical blindness and increased blood pressure. Fluid-attenuated inversion recovery imaging revealed high signal intensity and elevated apparent diffusion coefficient values in the bilateral occipital lobes. We diagnosed the patient with posterior reversible encephalopathy syndrome. Antihypertensive treatment improved his clinical symptoms. Careful imaging assessment, including of changes over time, is important for diagnosing posterior reversible encephalopathy syndrome. Elsevier 2022-06-21 /pmc/articles/PMC9234533/ /pubmed/35769122 http://dx.doi.org/10.1016/j.radcr.2022.06.013 Text en © 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Yamaguchi, Soichiro
Endo, Hideki
Hiratsuka, Yuma
Nakamura, Hirohiko
Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
title Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
title_full Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
title_fullStr Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
title_full_unstemmed Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
title_short Posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
title_sort posterior reversible encephalopathy syndrome mimicking subacute ischemic stroke: a case report()
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234533/
https://www.ncbi.nlm.nih.gov/pubmed/35769122
http://dx.doi.org/10.1016/j.radcr.2022.06.013
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