Delayed CSF enhancement in posterior reversible encephalopathy syndrome.
We present a case of increased fluid-attenuated inversion recovery signal intensity in the subarachnoid spaces on 6-hour delayed enhanced MR imaging in a patient with posterior reversible encephalopathy syndrome (PRES) in the setting of acute hypertensive encephalopathy. This hyperintensity was believed due to CSF gadolinium enhancement, a finding that would be anticipated in light of the suspected pathogenesis of increased microvascular permeability in PRES.
Hamilton
B E
BE
Department of Diagnostic Radiology, Oregon Health & Science University, Portland, OR 97239, USA. hamiltob@ohsu.edu
Nesbit
G M
GM
D000368:Aged; D002555:Cerebrospinal Fluid / Q000166:cytology*; D003287:Contrast Media; D005260:Female; D005682:Gadolinium; D006801:Humans; D020343:Hypertensive Encephalopathy / Q000175:diagnosis*; D007089:Image Enhancement / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis*; D013997:Time Factors
D003287:Contrast Media; D005682:Gadolinium