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Infratentorial Posterior Reversible Encephalopathy Syndrome (PRES) Presenting with Hydrocephalus

Author(s): Whitehead C, Reehal R, Shumon S

Posterior reversible leukoencephalopathy syndrome (PRES) is a cranial disorder linked to hypertension usually presenting with symptoms of headache, nausea and vomiting, seizures and visual disturbance. We present a rare case of PRES jointly managed by neurology and neurosurgery with an EVD and antihypertensive therapy in a 46 year old female who presented with hydrocephalus at Newcastle Upon Tyne Hospitals. Cases of PRES presenting in this way were rare with only 8 cases being described in the past. These cases tend to be in a much younger patient subset who were more often male. Management has varied in the past described cases and more literature is required to reach a concensus.

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    Yasuo Iwasaki

  • Division of Neurology, Department of Internal Medicine
    Toho University School of Medicine
    Ota-ku, Tokyo, Japan

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