scholarly journals Atypical Presentation of Posterior Reversible Encephalopathy Syndrome after Post-dural Puncture Headache

2013 ◽  
Author(s):  
Neslin Sahin ◽  
Jale Maral ◽  
Esin Celik ◽  
Aynur Solak ◽  
Berhan Genc ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Dural Puncture ◽  
Atypical Presentation ◽  
Post Dural Puncture Headache ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

scholarly journals A Case of Postpartum Headache Post Dural Puncture. Post Dural Puncture Headache or Reversible Cerebral Vasoconstriction Syndrome - Posterior Reversible Encephalopathy Syndrome?

2020 ◽  
Author(s):  
Melania Turetti ◽  
Maria Barbagallo ◽  
Umberto Scoditti ◽  
Antonio Genovese ◽  
Laura Angeli ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Dural Puncture ◽  
Postpartum Woman ◽  
Unexpected Event ◽  
Post Dural Puncture Headache ◽  
Posterior Reversible Encephalopathy ◽  
Cerebral Vasoconstriction ◽  
Reversible Encephalopathy ◽  
Prompt Diagnosis ◽  
Postpartum Headache

Abstract BACKGROUNDReversible Cerebral Vasoconstriction Syndrome (RCVS) and Posterior Reversible Encephalopathy Syndrome (PRES) are two rare neurological conditions, clinically characterized of headache. This is sometimes difficult to differentiate from post dural puncture headache (PDPH). In our case a diagnosis of PDPH was made but imaging showed signs of RCVS-PRES. The novelty is that, unlike in cases reported in literature, no liquoral hypotension signs were detected on imaging.CASE PRESENTATIONWe present a case of RCVS-PRES in a postpartum woman that presented headache as first symptom, and only later experienced seizures. Epidural analgesia was performed during labour, and it was complicated by dural puncture that worked as a confounding factor in the clinical postpartum evaluation. Seizures represented an unexpected event in the course of treating this patient for post dural puncture headache.CONCLUSIONSWe point out the attention on changes of clinical characteristics of headache as an important factor to be analyzed, in order to have a prompt diagnosis. Moreover, we evaluate possible triggers of RCVS and PRES; in our case dural puncture is probably not the trigger, in fact there were no liquoral hypotension signs on imaging. According to literature reports, puerperium itself was a promoting factor.

scholarly journals Two Unusual Aspects of Posterior Reversible Encephalopathy Syndrome Mimicking Primary and Secondary Brain Tumor Lesions

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Mazamaesso Tchaou ◽  
Nicoleta Modruz ◽  
Lama K. Agoda-Koussema ◽  
Anthony Michelot ◽  
Samer Naffa ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Cerebral Metastasis ◽  
Atypical Presentation ◽  
Radiological Outcome ◽  
Posterior Reversible Encephalopathy ◽  
First Case ◽  
Clinical And Radiological Outcome ◽  
Reversible Encephalopathy

The posterior reversible encephalopathy syndrome (PRES) is a rare clinical-radiological entity well described with typical clinical and radiological manifestations. Atypical presentation, especially in imaging, exists. The authors report here two cases of posterior reversible encephalopathy in which imaging aspects were atypical, mimicking, in the first case, hemorrhagic cerebral metastasis of cholangiocarcinoma and, in the second case, a brain tumor. The diagnosis has been retrospectively rectified due to clinical and radiological outcome.

ATYPICAL PRESENTATION OF POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES SYNDROME)

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A43-A44
Author(s):  
jad sargi ◽  
Manali Saraiya ◽  
Nabil Mesiha ◽  
Obed Adarkwah ◽  
Mona Alipour ◽  
...  
Keyword(s):  
Posterior Reversible Encephalopathy Syndrome ◽  
Atypical Presentation ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy
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