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Atypical Unilateral Posterior Reversible Encephalopathy Syndrome Mimicking a Middle Cerebral Artery Infarction

Authors
 I·lkay Çamlıdag  ;  Yang-Je Cho  ;  Mina Park  ;  Seung Koo Lee 
Citation
 KOREAN JOURNAL OF RADIOLOGY, Vol.16(5) : 1104-1108, 2015 
Journal Title
 KOREAN JOURNAL OF RADIOLOGY 
ISSN
 1229-6929 
Issue Date
2015
Abstract
Posterior reversible encephalopathy syndrome (PRES) is usually a reversible clinical and radiological entity associated with typical features on brain MR or CT imaging. However, the not-so-uncommon atypical radiological presentations of the condition are also present and they may go unrecognised as they are confused with other conditions. Here, we report a very rare case of atypical, unilateral PRES in a 49-year-old uremic, post-transplant female patient who presented with seizures. Initial MRI showed high-grade occlusion of the left middle cerebral artery (MCA) and lesions suggestive of subacute infarction in the ipsilateral frontotemporoparietal lobe. Patient symptoms had resolved a day after the onset without any specific treatment but early follow-up CT findings suggested hemorrhagic transformation. Follow-up MRI performed 2 years later showed complete disappearence of the lesions and persisting MCA occlusion.
Files in This Item:
T999901251.pdf Download
DOI
10.3348/kjr.2015.16.5.1104
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Park, Mina(박미나) ORCID logo https://orcid.org/0000-0002-2005-7560
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165737
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