Published in:
08-02-2022 | Septicemia | Invited Commentary
Commentary on Posterior Reversible Encephalopathy Syndrome and Sepsis-Associated Encephalopathy
Author:
G. Bryan Young
Published in:
Neurocritical Care
|
Issue 1/2022
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Excerpt
Posterior reversible encephalopathy syndrome (PRES), a clinical–radiological syndrome, was first described by Hinchey et al. [
1] in 1996: an acute illness with headache, altered mental status, blindness (with reactive pupils), and seizures associated with vasogenic edema, usually without contrast enhancement, predominantly in the posterior cerebrum bilaterally. Other cerebral regions, the cerebellum and brainstem, were sometimes involved. Most patients were hypertensive, often with renal impairment, and some were on immunosuppressive drugs. The clinical and radiological features resolved with control of blood pressure or discontinuation of immunosuppressives. …