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- Title
Life-threatening posterior reversible encephalopathy syndrome in the cerebellum treated by posterior fossa decompression.
- Authors
Abusabha, Yousef; Petridis, Athanasios; Kraus, Bastian; Kamp, Marcel; Steiger, Hans-Jakob; Beseoglu, Kerim
- Abstract
Posterior reversible encephalopathy syndrome (PRES) is a clinico-neuroradiological syndrome associated with various clinical conditions, such as headache, encephalopathy, and seizures. It is reversible if a prompt diagnosis is made and treatment undertaken. We report a 52-year-old male with hypertensive crisis. Progressing somnolence and an unresponsive left pupil occurred. MRI revealed an intra-axial hyperintensity of the cerebellum and brainstem and occlusive hydrocephalus suggestive of encephalitis or a tumor. Because of the life-threatening clinical picture, posterior fossa decompression was performed. Histopathology failed to identify any pathology. After decompression, the edema improved immediately. Under life-threatening conditions, a decompressive craniectomy in PRES seems to achieve the same results as supportive treatment.
- Subjects
NEUROLOGICAL disorders; THERAPEUTICS; DIAGNOSIS of neurological disorders; POSTERIOR leukoencephalopathy syndrome; HISTOPATHOLOGY; DROWSINESS; MAGNETIC resonance imaging
- Publication
Acta Neurochirurgica, 2017, Vol 159, Issue 7, p1325
- ISSN
0001-6268
- Publication type
Article
- DOI
10.1007/s00701-017-3228-7