Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jan 7:2:15001.
doi: 10.1038/scsandc.2015.1. eCollection 2016.

PRES with asymptomatic spinal cord involvement. Is this scenario more common than we know?

L C P Marrone  1 , W A Martins  1 , J P F Brunelli  1 , H Fussiger  1 , G F Carvalhal  1 , J R H Filho  1 , R B Soder  1 , M Schuck  1 , F S Viola  1 , A C H Marrone  1 , J C da Costa  1
Affiliations

PRES with asymptomatic spinal cord involvement. Is this scenario more common than we know?

L C P Marrone et al. Spinal Cord Ser Cases. .

Erratum in

Abstract

Introduction: Posterior reversible encephalopathy syndrome (PRES) is an entity characterized by neurologic symptoms such as headaches, altered mental status, seizures and visual changes, and it is associated with white matter vasogenic edema predominantly affecting the posterior occipital and parietal lobes of the brain.

Case report: A 19-year-old patient developed PRES after the use of chemotherapy for a testicular teratocarcinoma and after the development of a blood pressure elevation.

Discussion: Few cases described the involvement of the spinal cord in this syndrome. In the majority of these cases, the spinal cord involvement was asymptomatic or with few symptoms of spinal cord disease.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Brain MRI showing an increase of signal in T2/Flair in bilateral basal ganglia and brain stem.
Figure 2
Figure 2
Cervical MRI demonstrated an increase of signal in T2 in the interior of the spinal cord.
See this image and copyright information in PMC

References

    1. Hinchey J , Chaves C , Appignani B , Breen J , Pao L , Wang A et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996; 334: 494–500. - PubMed
    1. Bartynski WS . Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. AJNR Am J Neuroradiol 2008; 29: 1036–1042. - PMC - PubMed
    1. Marrone L , Streck Ade S , Staub HL , de Freitas CZ , Costa J , Gadonski G . Posterior reversible encephalopathy syndrome (PRES) and systemic lupus erythematosus: report of two cases. Rev Bras Reumatol 2012; 52: 804–810. - PubMed
    1. Sukumaran S , George B , Nair HP , Drobyski WR . Posterior reversible encephalopathy syndrome as a consequence of high dose steroid administration after autologous PBSCT. Bone Marrow Transplant. 2010; 45: 779–780. - PubMed
    1. Cruz RJ Jr , DiMartini A , Akhavanheidari M , Iacovoni N , Boardman JF , Donaldson J et al. Posterior reversible encephalopathy syndrome in liver transplant patients: clinical presentation, risk factors and initial management. Am J Transplant 2012; 12: 2228–2236. - PubMed

LinkOut - more resources