title: Rare posterior reversible encephalopathy syndrome in a patient with HIV.
abstract: Posterior reversible encephalopathy syndrome (PRES) is an uncommon neurological disorder, characterised by the rapid onset of neurological deficits and characteristic neuroimaging findings-cerebral oedema with a typical preference for the posterior white matter. We report a case of a 59-year-old woman with an untreated HIV infection and hypertension with a PRES diagnosis and a rare involvement of the basal ganglia and brainstem, with microhemorrhages. HIV infection, particularly if untreated, is associated with an inflammatory status and therefore endothelial damage and dysfunction that might have an important role in predisposing acute hypertensive crisis and PRES.
authors.affiliation: Department of Medicine, CHP, Porto, Portugal.
authors.forename: Sofia
authors.initials: S
authors.lastname: Ribeiro
authors.forename: Marta
authors.initials: M
authors.lastname: Monteiro
authors.forename: Bruno
authors.initials: B
authors.lastname: Moreira
authors.forename: Margarida
authors.initials: M
authors.lastname: França
mesh_terms: D001921:Brain / Q000473:pathology; D005260:Female; D015658:HIV Infections / Q000150:complications*; D015497:HIV-1; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D059906:Neuroimaging; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology