The right scan at the right time: reversible posterior leukoencephalopathy syndrome mimicking bilateral occipital lobe infarcts.
Reversible Posterior Leukoencephalopathy Syndrome (RPLS) is a relatively recently characterised neurological syndrome, first described by Hinchey et al in 1996, with neuroimaging findings of reversible vasogenic subcortical oedema. The clinical presentation can vary, is often non-specific but can include headache, global encephalopathy, seizures and visual disturbances. In this article we present such a case in a 79 year old woman, followed by a discussion of the typical presentations, associations, pathomechanisms and neuroimaging findings.
Limaye
Sameer
S
Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust, Leeds, UK. samlimaye@hotmail.com
Cooper
Jonathan
J
D000368:Aged; D002544:Cerebral Infarction / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D006801:Humans; D054038:Posterior Leukoencephalopathy Syndrome / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed