Posterior Reversible Encephalopathy Syndrome in the Emergency Department: Case Series and Literature Review
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Posterior Reversible Encephalopathy Syndrome in the Emergency Department: Case Series and Literature Review

  • Author(s): Thompson, Ryan J.
  • Sharp, Brian
  • Pothof, Jeffery
  • Hamedani, Azita
  • et al.
Abstract

Introduction: Posterior Reversible Encephalopathy Syndrome (PRES) often has variable presentations and causes, with common radiographic features—namely posterior white matter changes on magnetic resonance (MRI). As MRI becomes a more frequently utilized imaging modality in the Emergency Department, PRES will become an entity that the Emergency Physician must be aware of and be able to diagnose. 

Case Report: We report three cases of PRES, all of which presented to the emergency department of a single academic medical center over a short period of time, including a 53-year-old woman with only relative hypertension, a 69-year-old woman who ultimately died, and a 46-year-old woman who had a subsequent intraparenchymal hemorrhage. 

Conclusion: PRES is likely much more common than previously thought and is a diagnosis that should be considered in a wide variety of emergency department patient presentations. [West J Emerg Med. 2015;16(1):–0.]

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