Reversible hypertensive encephalomyelopathy - the spinal variant of the posterior reversible encephalopathy syndrome

Teddy Y Wu, Diana Y Wei, Anthony Jordan, Chris Kenedi, Andrew D Smith, Dean H Kilfoyle
New Zealand Medical Journal 2015 May 1, 128 (1413): 65-8
Posterior reversible encephalopathy syndrome (PRES) is characterised clinically by encephalopathy, headache, visual disturbance and/or focal neurological symptoms. Bilateral cerebral oedema on T2 MRI sequences within the posterior cerebral white matter is the radiological hallmark, although involvement of the frontal lobe, basal ganglia and brainstem can occur. PRES with spinal cord involvement has been rarely reported and is under-recognised due to lack of myelopathic features in nearly half of the reported cases. We report a patient with PRES with spinal cord involvement and review the literature.

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