Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100036 |
Resumo: | ObjectiveAnalyze the cases of posterior reversible encephalopathy syndrome (PRES) admitted in a Neurology Department during an 8-year period.MethodRetrospective observational study in a central hospital in the north of Portugal.Results14 patients were identified, mean age 52.3 years. Precipitating factors included: eclampsia, isolated arterial hypertension, spinal trauma and autonomic dysreflexia, Guillain-Barré syndrome, sepsis, sarcoidosis and pulmonary cryptococcosis and drugs. Most patients presented posterior-predominant vasogenic edema lesions, however 64.2% presented frontal lesions and in 42.8% cerebellum was involved. Four patients also had acute ischemic lesions and 1 had hemorrhagic lesions. During follow-up 10 patients recovered fully, 2 recovered partially, 1 suffered a recurrence and 2 died in hospital.ConclusionPRES has many etiological factors. The terms posterior and reversible should be revised because PRES frequently involves other brain regions and it is not always reversible. PRES patients may develop life-threatening complications and mortality is not negligible. |
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Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndromeposterior reversible encephalopathy syndromevasogenic edemaarterial hypertensionObjectiveAnalyze the cases of posterior reversible encephalopathy syndrome (PRES) admitted in a Neurology Department during an 8-year period.MethodRetrospective observational study in a central hospital in the north of Portugal.Results14 patients were identified, mean age 52.3 years. Precipitating factors included: eclampsia, isolated arterial hypertension, spinal trauma and autonomic dysreflexia, Guillain-Barré syndrome, sepsis, sarcoidosis and pulmonary cryptococcosis and drugs. Most patients presented posterior-predominant vasogenic edema lesions, however 64.2% presented frontal lesions and in 42.8% cerebellum was involved. Four patients also had acute ischemic lesions and 1 had hemorrhagic lesions. During follow-up 10 patients recovered fully, 2 recovered partially, 1 suffered a recurrence and 2 died in hospital.ConclusionPRES has many etiological factors. The terms posterior and reversible should be revised because PRES frequently involves other brain regions and it is not always reversible. PRES patients may develop life-threatening complications and mortality is not negligible.Academia Brasileira de Neurologia - ABNEURO2015-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100036Arquivos de Neuro-Psiquiatria v.73 n.1 2015reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20140176info:eu-repo/semantics/openAccessPereira,P RicardoPinho,JoãoRodrigues,MargaridaRocha,JoãoSousa,FilipaAmorim,JoséRibeiro,ManuelRocha,JaimeFerreira,Carlaeng2015-10-08T00:00:00Zoai:scielo:S0004-282X2015000100036Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2015-10-08T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
title |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
spellingShingle |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome Pereira,P Ricardo posterior reversible encephalopathy syndrome vasogenic edema arterial hypertension |
title_short |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
title_full |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
title_fullStr |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
title_full_unstemmed |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
title_sort |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
author |
Pereira,P Ricardo |
author_facet |
Pereira,P Ricardo Pinho,João Rodrigues,Margarida Rocha,João Sousa,Filipa Amorim,José Ribeiro,Manuel Rocha,Jaime Ferreira,Carla |
author_role |
author |
author2 |
Pinho,João Rodrigues,Margarida Rocha,João Sousa,Filipa Amorim,José Ribeiro,Manuel Rocha,Jaime Ferreira,Carla |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Pereira,P Ricardo Pinho,João Rodrigues,Margarida Rocha,João Sousa,Filipa Amorim,José Ribeiro,Manuel Rocha,Jaime Ferreira,Carla |
dc.subject.por.fl_str_mv |
posterior reversible encephalopathy syndrome vasogenic edema arterial hypertension |
topic |
posterior reversible encephalopathy syndrome vasogenic edema arterial hypertension |
description |
ObjectiveAnalyze the cases of posterior reversible encephalopathy syndrome (PRES) admitted in a Neurology Department during an 8-year period.MethodRetrospective observational study in a central hospital in the north of Portugal.Results14 patients were identified, mean age 52.3 years. Precipitating factors included: eclampsia, isolated arterial hypertension, spinal trauma and autonomic dysreflexia, Guillain-Barré syndrome, sepsis, sarcoidosis and pulmonary cryptococcosis and drugs. Most patients presented posterior-predominant vasogenic edema lesions, however 64.2% presented frontal lesions and in 42.8% cerebellum was involved. Four patients also had acute ischemic lesions and 1 had hemorrhagic lesions. During follow-up 10 patients recovered fully, 2 recovered partially, 1 suffered a recurrence and 2 died in hospital.ConclusionPRES has many etiological factors. The terms posterior and reversible should be revised because PRES frequently involves other brain regions and it is not always reversible. PRES patients may develop life-threatening complications and mortality is not negligible. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100036 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000100036 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282X20140176 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.73 n.1 2015 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212777626435584 |