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Case Report

Hypertension-Induced Posterior Reversible Encephalopathy Syndrome as the Presentation of Progressive Bilateral Renal Artery Stenosis

Monilkumar Patel, DNB Resident, Department of Emergency Medicine, Max Hospital, Shalimar Bagh, New Delhi-110088, India. , Monilkumar Patel , Kishalay Datta , Rigenjyoti Kalita , Anita Rawat , Hilal Ahmad Yatoo , Jitesh Bhandarkar

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Indian Journal of Emergency Medicine 3(1):p 134-136, January - June 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.31

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Abstract

Posterior reversible encephalopathy syndrome (PRES) is characterized clinically by headache, altered mental status, visual loss, and seizures. PRES is associated with neuroradiological findings characterized by white matter abnormalities, predominantly in the parieto-occipital regions of the brain. PRES is most often described in cases of hypertensive encephalopathy,eclampsia,renal failure,and immunosuppressive or anticancer therapy.We report a case of PRES associated with severe hypertension in the setting of a progressive renovascular hypertension from bilateral atherosclerotic renal artery stenosis.The pathogenesis of PRES is discussed and the importance of a prompt diagnosis and treatment is emphasized.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.31

Keywords

Reversible Encephalopathy; Renovascular Hypertension; Magnetic Resonance Imaging.  

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