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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2014

Open Access 01-12-2014 | Case report

Posterior reversible encephalopathy syndrome after depletive lumbar puncture: a case report

Authors: Michael Grelat, Jean-Baptiste Debaux, Jean-Louis Sautreaux

Published in: Journal of Medical Case Reports | Issue 1/2014

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Abstract

Introduction

Posterior reversible encephalopathy syndrome is a rare entity. Its pathophysiology is still poorly understood.

Case presentation

We report the case of a 69-year-old White European woman who presented complete and proportional right hemiplegia, confusion, deviation of her head and eyes to the right, cortical blindness, and generalized tonic-clonic seizure 12 hours following a depletive lumbar puncture. Emergency cerebral magnetic resonance imaging showed bioccipital and left-side basal ganglia hyperintensities in the fluid attenuated inversion recovery and the diffusion-weighted images suggesting a radiological diagnosis of posterior reversible encephalopathy syndrome.

Conclusions

The diagnosis is established on clinical and radiological signs. This is the first report of this kind in the literature. We present a case of posterior reversible encephalopathy syndrome after depletive lumbar puncture and we discuss the pathophysiology.
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Metadata
Title
Posterior reversible encephalopathy syndrome after depletive lumbar puncture: a case report
Authors
Michael Grelat
Jean-Baptiste Debaux
Jean-Louis Sautreaux
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2014
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-8-261

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