Hypertensive posterior reversible encephalopathy causing obstructive hydrocephalus
Copyright: © 2023 Surgical Neurology International..
Background: Posterior reversible encephalopathy syndrome (PRES) can occur due to the detrimental effect of malignant hypertension on cerebral autoregulation. Most reported cases describe involvement of the supratentorial areas. Involvement of the posterior fossa structures in conjunction with supratentorial involvement has also been reported; however, PRES affecting the infratentorial structures without supratentorial involvement is a rare phenomenon. Clinical manifestations can involve severe headache, seizures, and reduced consciousness with treatment focused primarily on blood pressure control.
Case Description: We report a case of PRES with isolated involvement of the infratentorial structures leading to obstructive hydrocephalus. The patient was managed with aggressive control of blood pressure and avoided ventriculostomy or posterior fossa decompression with a good outcome.
Conclusion: Medical management in the absence of neurological deficit can be associated with a good outcome.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
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| Enthalten in: |
Surgical neurology international - 14(2023) vom: 30., Seite 94 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Moughal, Saad [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Revised 11.04.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.25259/SNI_963_2022 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM355302128 |
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| 245 | 1 | 0 | |a Hypertensive posterior reversible encephalopathy causing obstructive hydrocephalus |
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| 500 | |a Date Revised 11.04.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright: © 2023 Surgical Neurology International. | ||
| 520 | |a Background: Posterior reversible encephalopathy syndrome (PRES) can occur due to the detrimental effect of malignant hypertension on cerebral autoregulation. Most reported cases describe involvement of the supratentorial areas. Involvement of the posterior fossa structures in conjunction with supratentorial involvement has also been reported; however, PRES affecting the infratentorial structures without supratentorial involvement is a rare phenomenon. Clinical manifestations can involve severe headache, seizures, and reduced consciousness with treatment focused primarily on blood pressure control | ||
| 520 | |a Case Description: We report a case of PRES with isolated involvement of the infratentorial structures leading to obstructive hydrocephalus. The patient was managed with aggressive control of blood pressure and avoided ventriculostomy or posterior fossa decompression with a good outcome | ||
| 520 | |a Conclusion: Medical management in the absence of neurological deficit can be associated with a good outcome | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Cerebral autoregulation | |
| 650 | 4 | |a Hypertensive encephalopathy | |
| 650 | 4 | |a Obstructive hydrocephalus | |
| 650 | 4 | |a Posterior fossa oedema | |
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| 700 | 1 | |a Saleem, Nayyar |e verfasserin |4 aut | |
| 700 | 1 | |a Derham, Chris |e verfasserin |4 aut | |
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