title: Variant Type of Posterior Reversible Encephalopathy Syndrome with Diffuse Cerebral White Matter and Brainstem Involvement Associated with Intracranial Hemorrhage.
abstract: Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiological syndrome characterized by reversible vasogenic edema typically at a posterior location of the cerebrum. PRES with prominent brainstem or basal ganglia involvement is defined as central-variant, which is rare. We herein report an atypical case of a 35-year-old man with a 2-year history of untreated hypertension who complained of recurrent dizziness. The patient presented with brainstem and diffuse white matter involvement associated with intracranial hemorrhage and recovered fully after therapy. Recognition of this uncommon benign syndrome as a potentially treatable disorder can be of great importance.
authors: Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors: Yin-Xi
authors: YX
authors: Zhang
authors: Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors: Yang
authors: Y
authors: Zheng
authors: Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors: Bi-Jun
authors: BJ
authors: Zhang
authors: Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors: Yun
authors: Y
authors: Zhang
authors: Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors: Mei-Ping
authors: MP
authors: Ding
authors: Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Electronic address: baorongz@sina.cn.
authors: Bao-Rong
authors: BR
authors: Zhang
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001933:Brain Stem / Q000000981:diagnostic imaging; D038524:Diffusion Magnetic Resonance Imaging; D005440:Fluid Therapy; D006801:Humans; D020300:Intracranial Hemorrhages / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D056784:Leukoencephalopathies / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D054038:Posterior Leukoencephalopathy Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D016896:Treatment Outcome; D066127:White Matter / Q000000981:diagnostic imaging
chemical_list: D000959:Antihypertensive Agents
keywords: Posterior reversible encephalopathy syndrome; central-variant; clinical–radiological dissociation; hypertension; intracranial hemorrhage