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: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.23/802 |
Resumo: | Objective Analyze the cases of posterior reversible encephalopathy syndrome (PRES) admitted in a Neurology Department during an 8-year period. Method Retrospective observational study in a central hospital in the north of Portugal. Results 14 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. Conclusion PRES 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 syndromeEspectro clínico, imagiológico e etiológico da síndrome de encefalopatia posterior reversívelSíndrome da Leucoencefalopatia PosteriorObjective Analyze the cases of posterior reversible encephalopathy syndrome (PRES) admitted in a Neurology Department during an 8-year period. Method Retrospective observational study in a central hospital in the north of Portugal. Results 14 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. Conclusion PRES 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.Repositório Científico do Hospital de BragaPereira, PRPinho, JRodrigues, MRocha, JSousa, FAmorim, JRibeiro, MRocha, JFerreira, C2015-01-30T16:23:10Z2015-01-01T00:00:00Z2015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.23/802porArq Neuropsiquiatr. 2015;73(1):36-40.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-21T09:02:33Zoai:repositorio.hospitaldebraga.pt:10400.23/802Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:55:26.365888Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome Espectro clínico, imagiológico e etiológico da síndrome de encefalopatia posterior reversível |
title |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome |
spellingShingle |
Clinical, imagiological and etiological spectrum of posterior reversible encephalopathy syndrome Pereira, PR Síndrome da Leucoencefalopatia Posterior |
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, PR |
author_facet |
Pereira, PR Pinho, J Rodrigues, M Rocha, J Sousa, F Amorim, J Ribeiro, M Ferreira, C |
author_role |
author |
author2 |
Pinho, J Rodrigues, M Rocha, J Sousa, F Amorim, J Ribeiro, M Ferreira, C |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Hospital de Braga |
dc.contributor.author.fl_str_mv |
Pereira, PR Pinho, J Rodrigues, M Rocha, J Sousa, F Amorim, J Ribeiro, M Rocha, J Ferreira, C |
dc.subject.por.fl_str_mv |
Síndrome da Leucoencefalopatia Posterior |
topic |
Síndrome da Leucoencefalopatia Posterior |
description |
Objective Analyze the cases of posterior reversible encephalopathy syndrome (PRES) admitted in a Neurology Department during an 8-year period. Method Retrospective observational study in a central hospital in the north of Portugal. Results 14 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. Conclusion PRES 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 |
2015-01-30T16:23:10Z 2015-01-01T00:00:00Z 2015-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.23/802 |
url |
http://hdl.handle.net/10400.23/802 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Arq Neuropsiquiatr. 2015;73(1):36-40. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130423118266368 |