Posterior reversible encephalopathy syndrome (PRES): investigations
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Posterior reversible encephalopathy syndrome (PRES): investigations. There are FLAIR hyperintensities in almost all cases.
Magnetic resonance imaging (MRI): FLAIR hyperintensities
- There are FLAIR hyperintensities in almost all cases
- These are mainly parieto-occipital in location
- Other brain areas and the cortex may also be affected
Magnetic resonance imaging (MRI): haemorrhage types
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Magnetic resonance imaging (MRI): other features
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Cerebrospinal fluid (CSF) features
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References
- Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. Am J Neuroradiol 2008; 29:1036-1042.
- Roth C, Ferbert A. The posterior reversible encephalopathy syndrome: what's certain, what's new? Pract Neurol 2011; 11:136-144.
- Lee VH, Wijdicks EFM, Manno EM, Rabinstein AA. Clinical spectrum of reversible posterior leukoencephalopathy syndrome. Arch Neurol 2008; 65:205-210.
- Datar S, Singh TD, Fugate JE, Mandrekar J, Rabinstein AA, Hocker S. Albuminocytologic dissociation in posterior reversible encephalopathy syndrome. Mayo Clin Proc 2015; 90:1366-1371.
- Neeb L, Hoekstra J, Endres M, Siegerink B, Siebert E, Liman TG. Spectrum of cerebral spinal fluid findings in patients with posterior reversible encephalopathy syndrome. J Neurol 2016; 263:30-34.
