The Diagnosis of posterior Reversible Leukoencephalopathy Syndrome: A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Introduction Reversible posterior leukoencephalopathy syndrome (PRES) is a reversible condition with vasogenic cerebral edema as amain pathological feature. Lesion mainly involves posterior part of cerebrum with wide range ofsymptoms ranging from headache,seizure,altered mental status, nausea, vision loss etc. Aim To study the clinical and radiological features of PRES. Material And Methods A prospective study was conducted in Mahatma Gandhi Medical College,Jaipur with 15 cases from June 2017- December 2017. Results Out of 15 patients, 12 were female and 3 were male with a mean age of 32.06 years. Most common presentation was seizure(53.3%) followed by altered mental status (33.3%) and headache (13.3%). Main comorbid illness in our study were eclampsia and postpartum sepsis (46.6%), renal diseases (26.6%),hypertension (26.6%). Most common site was occipito-parietal region on MRI brain (86.6%). Other atypical presentation involved temporal lobe (40%), basal ganglia (20%) and infarct (13.3%). Conclusion PRES is a reversible condition and has good outcome in most of the patients. In our study seizure is the most common presentation and hypertension is the most common comorbid illness and occipital regions are most common site on MRI.
Authors and Affiliations
Dr PareshKumar Sukhani, Dr Nipun Gumber, Dr Hemant Kumar Mishra
Keywords
Related Articles
- EP ID EP362955
- DOI 10.9790/0853-1702086264
- Views 58
- Downloads 0
Retrieval of Fractured Endodontic Instrument from Root Canal of Mandibular Molar Using Ultrasonic Technique: A Case Report
During Endodontic Treatment, Clinicians May Face Endodontic Procedural Mishaps Such As Broken Instruments. This Condition Is Associated With Potential Risk Of Contamination, Which Compromises The Healing Process. Managem...
Storage Media for Avulsed Teeth: An Overview
Avulsion or ex-articulation is a type of traumatic dental injury in which there is complete displacement of the tooth from its alveolar socket. The treatment option for this type of injury is reimplantation i.e. reinsert...
Dynamic Hip Screw and Proximal Femoral Locking Compression Plate as a Surgical Treatment of Trochanteric Fracture of Femur a Comparative Study
Trochanteric fracture femur is one of the commonest fracture orthopaedicpractice. Dynamic hip scre w (DHS) is the gold standard procedure for treatment for stable intertrochanteric fractures, however problem a rises with...
Raised C-Reactive Protein In Cerebrospinal Fluid: A Diagnostic Marker Of Bacterial Meningitis
Objective: To establish diagnostic role of CSF C-reactive protein quantitively in meningitis. Method: This prospective study was done on 50 patients. According to serum & CSF analysis 28 cases had pyogenic meningitis 22...
Awareness of Antenatal Mother on Breast Feeding – Experience In A Tertiary Care Hospital of West Bengal.
Introduction: Appropriate breastfeeding practices for babies is essential for their optimal growth and development;reduction of child morbidity and mortality. But due to lack of awareness such an invaluable gift is still...