Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Clinical Neuroradiology
Published in: Clinical Neuroradiology 4/2012

01-12-2012 | Correspondence

Isolated Pons Involvement in Posterior Reversible Encephalopathy Syndrome in a Patient with Chronic Renal Insufficiency: Case Report and Literature Review

Authors: Bo Gao, MD, Hui Liang, MD, Feng-li Liu, MD, Cui Lv, MD

Published in: Clinical Neuroradiology | Issue 4/2012

Login to get access

Excerpt

Posterior reversible encephalopathy syndrome (PRES) is characterized by headache, confusion, visual disturbances, and seizures [1]. Transient vasogenic edema occurs predominantly within the posterior circulation regions. Similar clinical findings are present regardless of the cause. The syndrome can rapidly resolve after proper management. However, PRES with only brain stem involvement has been uncommonly described and is usually associated with hypertension [2]. We herein describe a patient with PRES who suffered from chronic renal insufficiency and in whom the pons was solely involved. We also reviewed the literature to investigate the potential pathophysiological mechanism of PRES. …
Literature
1.
Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334:494–500.PubMedCrossRef
2.
Chen TY, Lee HJ, Wu TC, Tsui YK. MR imaging findings of medulla oblongata involvement in posterior reversible encephalopathy syndrome secondary to hypertension. AJNR Am J Neuroradiol. 2009;30:755–7.PubMedCrossRef
3.
Meylaerts L, Ooms V, Lyra S, Claes K, Vanrenterghem Y, Demaerel P. Hypertensive brain stem encephalopathy in a patient with chronic renal failure. Clin Nephrol. 2006;65:138–40.PubMed
4.
Uchino M, Haga D, Nomoto J, Mito T, Kuramitsu T. Brainstem involvement in hypertensive encephalopathy: a report of two cases and literature review. Eur Neurol. 2007;57:223–6.PubMedCrossRef
5.
Shintani S, Hino T, Ishihara S, Mizutani S, Shiigai T. Reversible brainstem hypertensive encephalopathy (RBHE): clinicoradiologic dissociation. Clin Neurol Neurosurg. 2008;110:1047–53.PubMedCrossRef
6.
Nakabou M, Kai T, Maeshima T, Kanamasa K. Hypertensive encephalopathy in patients with chronic renal failure caused by stopping antihypertensive agents: a report of two cases. Clin Exp Nephrol. 2010;14:256–62.PubMedCrossRef
7.
Liang H, Li D, Xu Z, Luo B. Isolated pons variant of posterior reversible encephalopathy syndrome complicated with ischemic stroke in a young patient. Neurol Sci. 2012 Apr 13. (Epub ahead of print)
8.
Tsutsumi M, Akimoto J, Nakajima N, Hashimoto R, Haraoka J. Two cases of posterior reversible encephalopathy syndrome resembling brainstem glioma. Clin Neurol Neurosurg. 2012; doi:10.1016/j.clineuro.2012.02.27.
Metadata
Title
Isolated Pons Involvement in Posterior Reversible Encephalopathy Syndrome in a Patient with Chronic Renal Insufficiency: Case Report and Literature Review
Authors
Bo Gao, MD
Hui Liang, MD
Feng-li Liu, MD
Cui Lv, MD
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Clinical Neuroradiology / Issue 4/2012
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-012-0162-1

Other articles of this Issue 4/2012

Clinical Neuroradiology 4/2012 Go to the issue

Correspondence

Heroin Spongiform Leukoencephalopathy (HSLE)

Editorial

Editorial

Original Article

Origin and Course of the Extracranial Vertebral Artery: CTA Findings and Embryologic Considerations

Original Article

Visual Assessment of Magnetic Resonance Imaging Perfusion Lesions in a Large Patient Group

Information

Societies Communications

OriginalPaper

Magnetic Resonance Imaging in Transient Global Amnesia