title: Posterior reversible encephalopathy syndrome after depletive lumbar puncture: a case report.
abstract: BACKGROUND
  Posterior reversible encephalopathy syndrome is a rare entity. Its pathophysiology is still poorly understood.
  
  
  METHODS
  We report the case of a 69-year-old White European woman who presented complete and proportional right hemiplegia, confusion, deviation of her head and eyes to the right, cortical blindness, and generalized tonic-clonic seizure 12 hours following a depletive lumbar puncture. Emergency cerebral magnetic resonance imaging showed bioccipital and left-side basal ganglia hyperintensities in the fluid attenuated inversion recovery and the diffusion-weighted images suggesting a radiological diagnosis of posterior reversible encephalopathy syndrome.
  
  
  CONCLUSIONS
  The diagnosis is established on clinical and radiological signs. This is the first report of this kind in the literature. We present a case of posterior reversible encephalopathy syndrome after depletive lumbar puncture and we discuss the pathophysiology.
authors: Department of Neurosurgery, Bocage Central, University Hospital of Dijon, 14 rue Paul Gaffarel, Dijon 21000, France. michael.grelat@gmail.com.
authors: Michael
authors: M
authors: Grelat
authors: Jean-Baptiste
authors: JB
authors: Debaux
authors: Jean-Louis
authors: JL
authors: Sautreaux
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D013129:Spinal Puncture / Q000009:adverse effects*