2,402 results match your criteria Encephalopathy Hypertensive


Hypertensive emergency presenting with acute spontaneous subdural hematoma.

J Cardiol Cases 2019 Jan 16;19(1):25-28. Epub 2018 Oct 16.

Cardiovascular Department at Mount Sinai Heart, New York, NY, USA.

Hypertensive crisis is a serious medical condition defined as severely elevated blood pressure; typically the systolic blood pressure is above 180 mmHg, and/or the diastolic blood pressure is above 120 mmHg. Hypertensive crises are divided into two categories: hypertensive urgency and hypertensive emergency. Hypertensive urgency is asymptomatic while hypertensive emergency presents with end-organ damage requiring more aggressive blood-pressure lowering. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342702PMC
January 2019
1 Read

Posterior reversible encephalopathy syndrome with spinal cord involvement but without hemisphere lesions: A case report.

Medicine (Baltimore) 2019 Jan;98(2):e13649

Department of Neurology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China.

Rationale: Posterior reversible encephalopathy syndrome (PRES) was termed by Hinchey in 1996. Patients have a reversible vasogenic brain edema in imaging and acute neurological symptoms such as headache, seizures, encephalopathy, and visual disturbances when suffering from hypertension, pre-eclampsia/eclampsia, renal failure, immunosuppressive medications, autoimmune disorders, sepsis, thrombocytopaenia, hypocalcaemia, alcohol withdrawal, and many other potential causes. de Havenon A et al have proposed a new syndrome named PRES with spinal cord involvement (PRES-SCI). Read More

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http://dx.doi.org/10.1097/MD.0000000000013649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336622PMC
January 2019
2 Reads

Comparison of transjugular intrahepatic portosystemic shunt for treatment of variceal bleeding in patients with cirrhosis with or without spontaneous portosystemic shunt.

Eur J Gastroenterol Hepatol 2019 Jan 9. Epub 2019 Jan 9.

Department of Gastroenterology, Nanjing Medical University Drum Tower Clinical Medical School.

Background And Aims: Transjugular intrahepatic portosystemic shunt (TIPS) is an effective intervention for portal hypertensive complications in cirrhosis. Spontaneous portosystemic shunts (SPSSs) may increase the risk of post-TIPS complications and mortality. This study was done to evaluate the safety and efficacy of TIPS for treating variceal bleeding between patients with and without SPSSs. Read More

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http://dx.doi.org/10.1097/MEG.0000000000001349DOI Listing
January 2019
6 Reads

Immunosuppression-associated posterior reversible encephalopathy syndrome in an acute leukemia case.

Hematol Rep 2018 Nov 6;10(4):7257. Epub 2018 Nov 6.

Department of Hematology, Hacettepe University School of Medicine, Ankara, Turkey.

Posterior reversible encephalopathy syndrome (PRES) was described in 1996. Herein, we aimed to report an immunosuppression- related PRES case. A 34-year-old woman was diagnosed as t-cell acute lymphoblastic leukemia and allogeneic hematopoietic stem cell transplantation (HSCT) was performed. Read More

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http://dx.doi.org/10.4081/hr.2018.7257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240836PMC
November 2018

Headache in Pregnancy, the Puerperium, and menopause.

Semin Neurol 2018 12 6;38(6):627-633. Epub 2018 Dec 6.

Department of Neurology, University at Buffalo School of Medicine and Biomedical Sciences, The State University of New York, Buffalo, New York.

Headache is a neurologic disorder that displays gender dichotomy. It is well established that there is a strong link between migraine headache and sex hormones, specifically estrogen, which influences the severity of migraines during the menstrual cycle, pregnancy, and menopause. Furthermore, the epidemiology of headaches during pregnancy and the postpartum period is very distinct from that in males or nonpregnant females, in part due to the hemodynamic and hematologic changes that occur during pregnancy. Read More

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http://dx.doi.org/10.1055/s-0038-1673681DOI Listing
December 2018
15 Reads

Stroke in Pregnancy: An Update.

Neurol Clin 2019 Feb;37(1):131-148

Department of Neurology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, WACC 729-C, Boston, MA 02114, USA. Electronic address:

Pregnancy confers a substantially increased risk of stroke in women. The period of highest risk of stroke is the peripartum/postpartum phase, coinciding with the highest risk for hypertensive disorders of pregnancy and peak gestational hypercoagulability. Hemorrhagic stroke is the most common type of obstetric stroke. Read More

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http://dx.doi.org/10.1016/j.ncl.2018.09.010DOI Listing
February 2019
18 Reads

Posterior reversible encephalopathy syndrome with extensive cytotoxic edema after blood transfusion: a case report and literature review.

BMC Neurol 2018 Nov 12;18(1):190. Epub 2018 Nov 12.

Division of Neurology, Department of Internal Medicine IV, Osaka Medical College, 2-7 Daigakumachi, Takatsuki, Osaka, 569-8686, Japan.

Background: Posterior reversible encephalopathy syndrome (PRES) is described as a clinical-radiological disease entity with good prognosis. In brain MRI, PRES generally presents with vasogenic edema. Although PRES is induced by various causes, a small number of PRES cases have occurred after red cell blood transfusion. Read More

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http://dx.doi.org/10.1186/s12883-018-1194-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231260PMC
November 2018
3 Reads

Posterior reversible encephalopathy syndrome complicated with subarachnoid hemorrhage in an eclamptic pregnant patient: case report.

BMC Neurol 2018 Nov 3;18(1):182. Epub 2018 Nov 3.

Department of Neurology, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuchang District, Wuhan, 430060, China.

Background: Posterior reversible encephalopathy syndrome (PRES) is a neurotoxic condition which comprises various neurological symptoms. This syndrome could be complicated by intracranial hemorrhage including subarachnoid hemorrhage (SAH). However, SAH is rarely seen in eclamptic patients with PRES. Read More

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https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-
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http://dx.doi.org/10.1186/s12883-018-1186-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6215355PMC
November 2018
10 Reads

Icariin ameliorates angiotensin II-induced cerebrovascular remodeling by inhibiting Nox2-containing NADPH oxidase activation.

Hum Cell 2019 Jan 1;32(1):22-30. Epub 2018 Nov 1.

Department of Encephalopathy, Hubei Provincial Traditional Chinese Medicine Hospital, Wuhan, People's Republic of China.

Cerebrovascular smooth muscle cells (SMCs) hyperplasia is an important contributor to cerebrovascular remodeling during hypertension. The aim of present study was to investigate the effects of Icariin on cerebrovascular SMCs proliferation and remodeling and the underlying mechanisms. The results revealed that Icariin administration attenuated the enhanced basilar artery constriction in angiotensin II (AngII)-induced hypertension rat model, as well as the inhibition of basilar artery diameter reduction in response to AngII and phenylephrine. Read More

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http://dx.doi.org/10.1007/s13577-018-0220-3DOI Listing
January 2019
3 Reads

Posterior reversible encephalopathy syndrome in association with exacerbation of chronic obstructive pulmonary disease: a case report.

BMC Neurol 2018 Oct 31;18(1):180. Epub 2018 Oct 31.

Department of Critical Care, Grande International Hospital (GIH), Kathmandu, Nepal.

Background: Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical and neurological entity. There are varieties of comorbid conditions which are associated with PRES. Chronic obstructive pulmonary disease (COPD) is a rare predisposing factor for the development of PRES. Read More

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http://dx.doi.org/10.1186/s12883-018-1188-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208046PMC
October 2018
2 Reads

Electroacupuncture Improves Baroreflex and -Aminobutyric Acid Type B Receptor-Mediated Responses in the Nucleus Tractus Solitarii of Hypertensive Rats.

Neural Plast 2018 30;2018:8919347. Epub 2018 Sep 30.

Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Research Center of Stomatology, Xi'an Jiaotong University College of Stomatology, Xi'an, Shaanxi 710004, China.

Electroacupuncture (EA) has been reported to benefit hypertension, but the underlying mechanisms are still unclear. We hypothesized that EA attenuates hypertension, in part, through modulation of -aminobutyric acid (GABA) receptor function in the nucleus tractus solitarii (NTS). In the present study, the long-term effect of EA on GABA receptor function and expression was examined in the NTS of two-kidney, one-clip (2K1C) renovascular hypertensive rats. Read More

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https://www.hindawi.com/journals/np/2018/8919347/
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http://dx.doi.org/10.1155/2018/8919347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186317PMC
January 2019
7 Reads

Posterior Reversible Encephalopathy Syndrome With Isolated Involving Infratentorial Structures.

Front Neurol 2018 9;9:843. Epub 2018 Oct 9.

Department of neurology, Renmin Hospital of Wuhan University, Wuhan, China.

Typical neuroimaging findings of posterior reversible encephalopathy syndrome include symmetrical white matter edema in subcortical white matter of bilateral occipital and parietal lobes, although variations do occur and more and more attention is being focused upon disease of infratentorial-isolated involved posterior reversible encephalopathy syndrome. In this article, we described 1 case of posterior reversible encephalopathy syndrome with isolated infratentorial brain involvement and reviewed the literature to identify an additional 36 cases in the PubMed database. We used various search terms, such as "brainstem/cerebella/spinal posterior reversible encephalopathy syndrome," "brainstem/cerebella/spinal reversible posterior leukoencephalopathy syndrome," "brainstem/cerebella/spinal hypertensive encephalopathy," "infratentorial posterior reversible encephalopathy syndrome," and "posterior reversible encephalopathy syndrome variant. Read More

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https://www.frontiersin.org/article/10.3389/fneur.2018.00843
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http://dx.doi.org/10.3389/fneur.2018.00843DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6189285PMC
October 2018
10 Reads

Baroreflex functionality in the eye of diffusion tensor imaging.

J Physiol 2019 Jan 2;597(1):41-55. Epub 2018 Nov 2.

Institute for Translational Research in Biomedicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan, Republic of China.

By applying diffusion tensor imaging (DTI) as a physiological tool to evaluate changes in functional connectivity between key brainstem nuclei in the baroreflex neural circuits of mice and rats, recent work has revealed several hitherto unidentified phenomena regarding baroreflex functionality. (1) The presence of robust functional connectivity between nucleus tractus solitarii (NTS) and nucleus ambiguus (NA) or rostral ventrolateral medulla (RVLM) offers a holistic view on the moment-to-moment modus operandi of the cardiac vagal baroreflex or baroreflex-mediated sympathetic vasomotor tone. (2) Under pathophysiological conditions (e. Read More

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http://dx.doi.org/10.1113/JP277008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312450PMC
January 2019
13 Reads

Coma, Seizures, Atrioventricular Block, and Hypoglycemia in an ADB-FUBINACA Body-Packer.

J Emerg Med 2018 Dec 5;55(6):788-791. Epub 2018 Oct 5.

Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York; Upstate Poison Center, Syracuse, New York.

Background: Synthetic cannabinoid intoxication has become difficult to diagnose and manage in the United States, in part due to varying clinical effects within this heterogeneous group of compounds.

Case Report: A 38-year-old man was admitted with altered mental status and bradycardia. He demonstrated progressive encephalopathy, seizure activity, second-degree atrioventricular block type I, respiratory failure, hypotension, hypothermia, and hypoglycemia. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.09.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289710PMC
December 2018
11 Reads

Fludarabine-Induced Posterior Reversible Encephalopathy Syndrome in a Pediatric Patient With β-Thalassemia: Case Report and Literature Review.

Clin Neuropharmacol 2018 Nov/Dec;41(6):224-229

Pediatric Neurology Unit, Fundación Hospital Pediátrico La Misericordia, Bogotá, Colombia.

Posterior reversible encephalopathy syndrome is a disorder of reversible subcortical vasogenic brain edema in the context of different diseases or exposure to cytotoxic drugs such as fludarabine. We present the case of a pediatric patient with β-thalassemia who develops a fludarabine-induced posterior reversible encephalopathy while he received an induction regimen to achieve an allogenic hematopoietic cell transplantation. The clinical presentation consists in altered mental state, headache, status epilepticus, visual disturbance, and hypertension. Read More

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http://dx.doi.org/10.1097/WNF.0000000000000309DOI Listing
December 2018
2 Reads

Unusual Delayed Presentation of Posterior Reversible Encephalopathy Syndrome Following Vestibular Schwannoma Surgery: A Rare Neurologic Emergency.

World Neurosurg 2018 Dec 24;120:532-536. Epub 2018 Sep 24.

Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Background: Posterior reversible encephalopathy syndrome (PRES) is a rare neurologic condition that manifests with heterogeneous clinical findings, including altered mental status, seizure, vision loss, and vomiting. It characteristically leads to diffuse subcortical vasogenic edema, most commonly in the parieto-occipital regions. Although frequently reported with conditions such as hypertension, eclampsia, sepsis, electrolyte imbalances, autoimmune diseases, and immunosuppressive therapy, PRES may rarely occur after surgery for posterior fossa tumors. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183213
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http://dx.doi.org/10.1016/j.wneu.2018.09.084DOI Listing
December 2018
5 Reads
2.420 Impact Factor

[Non-drug therapy of vertigo].

Zh Nevrol Psikhiatr Im S S Korsakova 2018 ;118(8):38-42

Sechenov First Moscow State Medical University, Moscow, Russia.

Aim: To study the efficacy of various methods of non-drug therapy of diseases manifested by vertigo and dizziness in neurological practice.

Material And Methods: Referral and final diagnoses were compared after neurovestibular examination of 599 patients (177 men and 422 women), aged 25 to 79 years (mean age 55 years), with various causes of vertigo. Patients underwent vestibular rehabilitation, trainings on the stabiloplatform with biological feedback (biofeedback), repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Read More

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http://dx.doi.org/10.17116/jnevro201811808138DOI Listing
January 2018
4 Reads

Posterior reversible encephalopathy syndrome in eclampsia.

Neurol India 2018 Sep-Oct;66(5):1316-1323

Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Posterior reversible encephalopathy syndrome is characterized by acute headache, visual impairment, seizures, and altered mental status; neuroimaging may show cerebral edema affecting the parietal and occipital lobes of the brain. The objective of this article is to review the current understanding of posterior reversible encephalopathy syndrome in eclampsia. Literature was searched from PubMed, Scopus, and Google Scholar databases. Read More

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http://dx.doi.org/10.4103/0028-3886.241364DOI Listing
September 2018
3 Reads

Doppler ultrasound surveillance of TIPS-patency in the era of covered stents - retrospective analysis of a large single-center cohort.

Z Gastroenterol 2018 09 17;56(9):1053-1062. Epub 2018 Sep 17.

Medizinische Klinik I, Klinikum Ludwigsburg, Germany.

Purpose: The purpose of this study was to determine accuracy and necessity of long-term Doppler ultrasound (DU) surveillance of transjugular intrahepatic portosystemic shunt (TIPS) patency after implantation of an ePTFE-covered stent-graft (Viatorr).

Methods: This single-center retrospective study includes 228 consecutive cirrhotic patients with TIPS implantation due to portal hypertensive complications. Standardized DU surveillance was scheduled 3 - 5 days, 3 months, and 6 months after TIPS implantation and every 6 months thereafter. Read More

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http://dx.doi.org/10.1055/s-0044-102107DOI Listing
September 2018
3 Reads

Acute intermittent porphyria presenting with seizures and posterior reversible encephalopathy syndrome: Two case reports and a literature review.

Medicine (Baltimore) 2018 Sep;97(36):e11665

Urology Department, Qilu Hospital of Shandong University, Qingdao, Shandong Province, China.

Introduction: Acute intermittent porphyria (AIP) is a rare and challenging hereditary neurovisceral disease with no specific symptoms. Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological syndrome with bilateral reversible posterior gyriform lesions that can be associated with many different conditions, including AIP. Usually, peripheral neuropathy is considered the most common neurological manifestation of AIP. Read More

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http://dx.doi.org/10.1097/MD.0000000000011665DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133578PMC
September 2018
12 Reads

[Mycophenolate mofetil versus cyclosporine A in children with primary refractory nephrotic syndrome].

Zhonghua Er Ke Za Zhi 2018 Sep;56(9):651-656

Department of Pediatrics, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing102218, China Geng Haiyun and Ji Lina contributed equally to this article.

To compare the efficacy and safety of mycophenolate mofetil versus cyclosporine A in treating children with primary refractory nephrotic syndrome. Conducted a prospective randomized controlled clinical trial in 62 pediatric patients (including 44 boys and 18 girls), age ranged from 2.1 to 17. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2018.09.004DOI Listing
September 2018
17 Reads

Neonatal Morbidity in the Offspring of Obese Women Without Hypertension or Diabetes.

Obstet Gynecol 2018 Oct;132(4):835-841

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Washington University in St. Louis School of Medicine, St. Louis, Missouri.

Objective: To compare the independent risk of neonatal morbidity between the offspring of obese and nonobese women without hypertension or diabetes.

Methods: This is a secondary analysis of a prospective single-center cohort study of singleton deliveries at or beyond 37 weeks of gestation from 2010 to 2014. Women with diabetes (pregestational or gestational) and hypertensive disorders were excluded. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002775DOI Listing
October 2018
2 Reads

Mineralocorticoid Receptors, Neuroinflammation and Hypertensive Encephalopathy.

Cell Mol Neurobiol 2018 Aug 16. Epub 2018 Aug 16.

Laboratory of Neuroendocrine Biochemistry, Instituto de Biologia y Medicina Experimental-CONICET, Buenos Aires, Argentina.

Worldwide, raised blood pressure is estimated to affect 35-40% of the adult population and is a main conditioning factor for cardiovascular diseases and stroke. Animal models of hypertension have provided great advances concerning the pathophysiology of human hypertension, as already shown for the deoxycorticosterone-salt treated rat, the Dahl-salt sensitive rat, the Zucker obese rat and the spontaneously hypertensive rat (SHR). SHR has been widely used to study abnormalities of the brain in chronic hypertension. Read More

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http://dx.doi.org/10.1007/s10571-018-0610-9DOI Listing
August 2018
2 Reads

Congenital adrenal hyperplasia due to 17-alpha hydroxylase deficiency with hypertensive encephalopathy, hypoglycemic seizures and adrenal insufficiency.

Authors:
Narendra Kumar

J Anaesthesiol Clin Pharmacol 2018 Apr-Jun;34(2):261-262

Department of Anaesthesia and Intensive Care, Narayana Nethralaya, Bengaluru, Karnataka, India.

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http://dx.doi.org/10.4103/0970-9185.173401DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066868PMC
August 2018
2 Reads

Paradoxical hypertension.

Oxf Med Case Reports 2018 Jul 25;2018(7):omy037. Epub 2018 Jul 25.

Dr. B.R. Ambedkar Medical College, Bangalore, India.

Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiological syndrome characterized by white matter vasogenic edema affecting the posterior occipital and parietal lobes of the brain predominantly. A 48-year-old female patient presented to ER with complaints of breathlessness and developed sudden painless loss of vision while eliciting history. The patient had a heart rate of 104/min and accelerated hypertension (BP of 220/120 mm of Hg). Read More

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http://dx.doi.org/10.1093/omcr/omy037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059163PMC
July 2018
3 Reads

Posterior Reversible Encephalopathy Syndrome and Guillain-Barré Syndrome after Head Injury: Case Report.

Neurol Med Chir (Tokyo) 2018 Oct 3;58(10):453-458. Epub 2018 Aug 3.

Department of Neurosurgery, Tochigi Medical Center Shimotsuga.

We report a case of head injury with posterior reversible encephalopathy syndrome (PRES), followed by Guillain-Barré syndrome (GBS). A 74-year-old man was brought to our hospital after a fall. Computed tomography revealed intracranial hemorrhage. Read More

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https://www.jstage.jst.go.jp/article/nmc/58/10/58_cr.2018-00
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http://dx.doi.org/10.2176/nmc.cr.2018-0049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6186763PMC
October 2018
12 Reads

Trastuzumab-associated Posterior Reversible Encephalopathy Syndrome.

Cureus 2018 May 24;10(5):e2686. Epub 2018 May 24.

Hematology and Oncology, University of Missouri Kansas City School of Medicine, Kansas City, USA.

Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiographic syndrome that presents with neurological manifestations, including seizures, headache, or confusion, and is associated with posterior cerebral white matter edema on imaging. PRES is typically a benign and reversible condition. However, PRES can be fatal or associated with permanent deficits. Read More

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http://dx.doi.org/10.7759/cureus.2686DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6059531PMC
May 2018
3 Reads

Posterior Reversible Encephalopathy Syndrome after Augmentation Cystoplasty in a Child with Neurogenic Bladder.

J Indian Assoc Pediatr Surg 2018 Jul-Sep;23(3):158-160

Department of Pediatric Surgery, SKIMS, Srinagar, Jammu and Kashmir, India.

Posterior reversible encephalopathy syndrome (PRES) or leukoencephalopathy syndrome was introduced into clinical practice in 1996 by Hinchey ., to describe unique syndrome, clinically expressed during hypertensive and uremic encephalopathy, eclampsia, and immunosuppressive therapy. Hyperperfusion with resultant disruption of the blood-brain barrier results in vasogenic edema, but not infarction, most commonly in the parieto-occipital regions. Read More

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http://dx.doi.org/10.4103/jiaps.JIAPS_204_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6042172PMC
July 2018
3 Reads

First case of neurofibromatosis with posterior reversible encephalopathy syndrome showing spinal cord involvement.

Indian J Radiol Imaging 2018 Apr-Jun;28(2):161-164

Department of Radiology and Imaging, Queen Elizabeth Hospital, Kowloon, Hong Kong (SAR), People's Republic of China.

Posterior reversible encephalopathy syndrome (PRES) is a well-documented pathology of the brain in systemic upsets. Majority of PRES cases present with edema in the cerebrum, most commonly in the territory of posterior circulation. It has been reported to show spinal cord involvement in a rare subgroup known as PRES with spinal cord involvement (PRES-SCI), with very limited existing literature even in adult patients. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_320_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038224PMC
July 2018
1 Read

A Late Complication Occurring Due to Tacrolimus After Liver Transplant: Posterior Reversible Encephalopathy Syndrome.

Exp Clin Transplant 2018 Jul 11. Epub 2018 Jul 11.

From the General Surgery Department, Fırat University Medicine School, Elazığ, Turkey.

Posterior reversible encephalopathy syndrome is a rare condition of the central nervous system that may occur in adults as well as in children. Clinically, it presents with mental status changes, visual loss, headaches, seizures, or coma. The diagnosis of posterior reversible encephalopathy syndrome is based on the typical appearance in occipital and parietal lobes in radiologic imaging studies, such as computed tomography or magnetic resonance imaging of the brain, which exhibit the typical appearance due to vasogenic edema. Read More

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http://dx.doi.org/10.6002/ect.2017.0248DOI Listing
July 2018
8 Reads

A case of posterior reversible encephalopathy syndrome associated with sepsis.

BMJ Case Rep 2018 Jul 10;2018. Epub 2018 Jul 10.

Department of Internal Medicine, Texas Tech University Health Science Center at Permian Basin, Odessa, Texas, USA.

Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterised by parieto-occipital vasogenic oedema seen on MRI. Infection and sepsis has been reported as a possible cause for this disorder.We present a 19-year-old immunocompetent Caucasian man with known type 1 diabetes mellitus who presented to the emergency department with acute onset of bilateral visual loss, headaches and hypertension; he had been discharged 2 weeks ago for severe diabetic ketoacidosis and bacteraemia. Read More

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http://dx.doi.org/10.1136/bcr-2018-225128DOI Listing
July 2018
12 Reads

Symptomatic Lacunar Infarct Accompanied with Posterior Reversible Encephalopathy Syndrome: A Case Report.

Tokai J Exp Clin Med 2018 Jul 20;43(2):64-67. Epub 2018 Jul 20.

Division of Neurology, Department of Internal Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.

We present a 48-year-old man with a history of hypertension, who suddenly noticed dysarthria and right hemiparesis. Diffusion-weighted MRI at 1 day after the onset showed a small high-intensity region in the left corona radiata, indicating the acute phase of lacunar infarction. Fluid attenuation inversion recovery images showed extensive hyperintense lesions predominantly in the white matter of the fronto-temporoparietal lobes and pons, indicating posterior reversible encephalopathy syndrome (PRES). Read More

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July 2018
2 Reads

Understanding posterior reversible encephalopathy syndrome.

JAAPA 2018 Jul;31(7):31-34

Kenneth Fittro and Roderick Dizon practice at Borgess Medical Center in Kalamazoo, Mich. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Posterior reversible encephalopathy syndrome is a characteristic clinical-radiographic syndrome with diverse and multifactorial causes. Symptoms include headache, altered mental status, seizures, nausea and vomiting, and vision abnormalities. The syndrome is treated by lowering BP, administering anticonvulsant medications, correcting metabolic abnormalities, and removing offending agents. Read More

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http://dx.doi.org/10.1097/01.JAA.0000534980.69236.81DOI Listing
July 2018
1 Read

Case 20-2018: A 64-Year-Old Man with Fever, Arthralgias, and Testicular Pain.

N Engl J Med 2018 Jun;378(26):2518-2529

From the Department of Medicine, Brigham and Women's Hospital (C.A.S.), the Departments of Medicine (C.A.S., Z.S.W.), Radiology (A.K.), and Pathology (K.G.), Massachusetts General Hospital, and the Departments of Medicine (C.A.S., Z.S.W.), Radiology (A.K.), and Pathology (K.G.), Harvard Medical School - all in Boston.

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http://dx.doi.org/10.1056/NEJMcpc1800334DOI Listing
June 2018
31 Reads

Balloon-Occluded Retrograde Transvenous Obliteration versus Transjugular Intrahepatic Portosystemic Shunt for the Management of Gastric Variceal Bleeding.

Gut Liver 2018 11;12(6):704-713

Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.

Background/aims: Gastric varices (GVs) are a major cause of upper gastrointestinal bleeding in patients with liver cirrhosis. The current treatments of choice are balloon-occluded retrograde transvenous obliteration (BRTO) and the placement of a transjugular intrahepatic portosystemic shunt (TIPS). We aimed to compare the efficacy and outcomes of these two methods for the management of GV bleeding. Read More

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http://www.gutnliver.org/journal/view.html?doi=10.5009/gnl17
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http://dx.doi.org/10.5009/gnl17515DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254622PMC
November 2018
14 Reads

Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer.

J Community Hosp Intern Med Perspect 2018 12;8(3):130-133. Epub 2018 Jun 12.

Division of Hematology/Oncology, University of Maryland Medical Center, Baltimore, MD, USA.

Posterior reversible encephalopathy syndrome (PRES) is an increasingly recognizable neuro-clinical syndrome. Clinical and neurological manifestations of PRES include hypertension, headache, encephalopathy, seizures, and symmetrical white matter changes on brain MRI. Most common precipitants of PRES are acute medical illness, hypertensive crisis, eclampsia, immunosuppressive therapy, and chemotherapy. Read More

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http://dx.doi.org/10.1080/20009666.2018.1478563DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5998282PMC
June 2018
2 Reads

Multiple subcutaneous metastases as the solitary presenting site of colorectal cancer.

J Cancer Res Ther 2018 Apr-Jun;14(3):716-718

Department of Radiotherapy, Regional Institute of Medical Sciences, Imphal, Manipur, India.

Skin metastases, as a presenting symptom of gastrointestinal malignancies, are very rare and signify aggressive disease. They usually occur after a long period of diagnosis and along with other visceral metastases. We present the case of an 18-year-old male with diffuse subcutaneous metastases as a presenting feature and as the only site of distant metastases due to rectosigmoid adenocarcinoma. Read More

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http://dx.doi.org/10.4103/0973-1482.172586DOI Listing
November 2018
1 Read

Nocturnal Hypertension in Multiple System Atrophy May Cause Posterior Reversible Encephalopathy Syndrome.

Intern Med 2018 Nov 6;57(21):3187-3191. Epub 2018 Jun 6.

Department of Neurology, Tenri Hospital, Japan.

Nocturnal hypertension (NH) is a symptom of cardiovascular dysautonomia in multiple system atrophy (MSA); however, care and medication are often insufficient. We herein report a patient with MSA who showed posterior reversible encephalopathy syndrome (PRES) caused by hypertension during sleep. He presented clinically with total blindness; T2-weighted magnetic resonance imaging showed high signal intensities in the bilateral subcortical occipital-temporal lobes. Read More

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http://dx.doi.org/10.2169/internalmedicine.0759-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262696PMC
November 2018
1 Read

Posterior reversible encephalopathy syndrome as an initial manifestation of systemic lupus erythematosus.

Ideggyogy Sz 2017 Nov;70(11-12):425-427

Department of Neurology, Sakarya University Training and Research Hospital, Sakarya, Turkey.

Posterior reversible encephalopathy syndrome (PRES) is a disorder which is diagnosed with its characteristic clinical and radiological findings, typically resolves with treatment. The prevalence of PRES in systemic lupus erythematosus (SLE) patients is not exactly known. A systemic disorder frequently appears as a presenting symptom in SLE. Read More

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http://dx.doi.org/10.18071/isz.70.0425DOI Listing
November 2017
5 Reads
0.343 Impact Factor

Posterior Reversible Encephalopathy Syndrome with Status Epilepticus Following Surgery for Lumbar Stenosis and Spondylolisthesis.

World Neurosurg 2018 Aug 1;116:309-315. Epub 2018 Jun 1.

Department of Neurosurgery, Hospital Universitario de Burgos, Burgos, Spain.

Background: Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiologic condition encountered in many different clinical settings; it generally occurs in the context of hypertensive crisis, immunosuppressive therapy, or autoimmune diseases. It is characterized by headache, stupor, seizures, and visual alterations. Magnetic resonance imaging findings include white matter changes preferentially in the parieto-occipital regions. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.174DOI Listing
August 2018
4 Reads

An outbreak of hemolytic uremic syndrome in southern Romania during 2015-2016: Epidemiologic, clinical, laboratory, microbiologic, therapeutic and outcome characteristics.

Pediatr Neonatol 2019 02 8;60(1):87-94. Epub 2018 May 8.

Pediatric Infectious Disease Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. Electronic address:

Background And Aims: To describe the epidemiologic, clinical, microbiological, therapeutic and outcome characteristics of a HUS outbreak occurring in southern Romania from 2015 to 2016.

Methods: We retrospectively collected data from the medical records of all HUS cases hospitalized at the pediatric nephrology department of Marie Curie Children's Hospital of Bucharest, Romania.

Results: There were 32 HUS cases (19 girls/13 boys, 87. Read More

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http://dx.doi.org/10.1016/j.pedneo.2018.04.011DOI Listing
February 2019
4 Reads

Concomitant Acute Toxic Leukoencephalopathy and Posterior Reversible Encephalopathy Syndrome.

J Neuroimaging 2018 Sep 24;28(5):535-541. Epub 2018 May 24.

Department of Radiology, University of Minnesota, Minneapolis, MN.

Background And Purpose: Posterior reversible encephalopathy syndrome (PRES) and acute toxic leukoencephalopathy (ATL) are both potentially reversible clinicoradiologic entities. Although their magnetic resonance imaging (MRI) findings differ, rarely both may occur simultaneously in acutely encephalopathic patients. Our aim was to determine the incidence and causes of concomitant "ATL-PRES. Read More

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http://dx.doi.org/10.1111/jon.12526DOI Listing
September 2018
3 Reads

Posterior reversible leukoencephalopathy syndrome (PRES) after kidney transplantation: a case report.

J Bras Nefrol 2018 Jan-Mar;40(1):91-94. Epub 2018 Apr 19.

Universidade Federal do Rio Grande do Sul, Faculdade de Medicina, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.

Introduction: Posterior reversible leukoencephalopathy syndrome (PRES) was first described by Hinchey in 1996. The syndrome is characterized by altered level of consciousness, headache, visual changes, and seizures associated with a vasogenic edema of the white matter that occurs predominantly in the occipital and parietal lobes. Imaging tests such as computed tomography (CT) and especially magnetic resonance imaging (MRI) support the diagnosis. Read More

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http://dx.doi.org/10.1590/1678-4685-JBN-3825DOI Listing
January 2019
1 Read

Requirement for Head Magnetic Resonance Imaging in Children Who Present to the Emergency Department With Acute Nontraumatic Visual Disturbance.

Pediatr Emerg Care 2018 May 15. Epub 2018 May 15.

From the Departments of Pediatrics and.

Objectives: This study aimed to investigate the clinical features and head magnetic resonance imaging (MRI) findings in children who presented to the emergency department with acute nontraumatic visual disturbance and to study related clinical factors for discovering positive lesions on head MRI.

Methods: We performed a retrospective study of 1-month to 15-year-old children who underwent head MRI as an evaluation for acute nontraumatic visual disturbance as a chief complaint in our pediatric emergency department between March 2010 and March 2015. The symptoms of visual disturbance were blurred vision, diplopia, loss of vision, and visual hallucination. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001506DOI Listing
May 2018
12 Reads

Unusual Aspect of Posterior Reversible Encephalopathy Syndrome in an Elderly Adult.

J Emerg Med 2018 07 7;55(1):e9-e13. Epub 2018 May 7.

Department of Neurology, Le Havre General Hospital, Le Havre, France.

Background: Posterior reversible encephalopathy syndrome (PRES) classically occurs in patients presenting with a sudden increase of arterial pressure or eclampsia, but the range of etiologies is very wide. Although the mechanisms underlying PRES remain unclear, research suggests that when the extent of hypertension exceeds the threshold of cerebral blood flow autoregulation, this induces blood-brain barrier disruption that leads to brain edema. Unusual presentations on magnetic resonance imaging (MRI) are possible, including the involvement of frontal or temporal lobes, cerebellar hemispheres, basal ganglia, brainstem, or deep white matter. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.04.008DOI Listing
July 2018
2 Reads

Clinical and imaging profile of patients with new-onset seizures & a presumptive diagnosis of eclampsia - A prospective observational study.

Pregnancy Hypertens 2018 Apr 25;12:35-39. Epub 2018 Feb 25.

Department of Radiodiagnosis, Jawaharlal Institute of Post-graduate Medical Education & Research, Puducherry 605006, India.

Objective: To study the clinical and imaging profile of patients with new-onset seizures with a presumptive diagnosis of eclampsia.

Methods: This was a cross-sectional study, conducted in a tertiary teaching hospital, on pregnant women presenting with new onset seizures with presumptive diagnosis of eclampsia excluding those with pre-existing neurological conditions. Demographic details, medical and obstetric examination findings were noted. Read More

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http://dx.doi.org/10.1016/j.preghy.2018.02.008DOI Listing
April 2018
8 Reads

A case of hereditary coproporphyria with posterior reversible encephalopathy and novel coproporphyrinogen oxidase gene mutation c.863T>G (p.Leu288Trp).

Ann Clin Biochem 2018 Sep 27;55(5):616-619. Epub 2018 Apr 27.

1 Department of General Medicine, Wellington Hospital, Wellington, New Zealand.

A 21-year-old female had recurrent presentations to the emergency department with myalgia, vomiting, abdominal pain and subsequently developed generalized seizures. She was volume depleted with a plasma sodium of 125 mmol/L (reference interval: 135-145) and she had fluctuating hypertension. Acute porphyria was suspected and confirmed with raised urine porphobilinogen/creatinine ratio of 12:4 μmol/mmoL (reference interval < 1:5) and she was treated with intravenous haem arginate. Read More

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http://journals.sagepub.com/doi/10.1177/0004563218774597
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http://dx.doi.org/10.1177/0004563218774597DOI Listing
September 2018
101 Reads

The therapeutic effect of splenectomy plus selective pericardial devascularization versus conventional pericardial devascularization on portal hypertension in China: a meta-analysis.

Oncotarget 2018 Mar 3;9(20):15398-15408. Epub 2018 Jan 3.

Department of Pancreatic and Gastric Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

Background: To systematically review perioperative outcomes and postoperative complications between splenectomy plus s-EGDV and n-sEGDV for portal hypertension complicated with thoracic esophageal varices and bleeding by a meta-analysis.

Method: We searched the databases of PubMed, the Cochrane Library, Web of Science, EMBASE, TCGA, Chinese Biomedicine Database from January 2000 to June 2017, and included studies that compared perioperative outcomes and postoperative complications between s-EGDV and n-sEGDV. These included studies were assessed by two independent investigators. Read More

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http://www.oncotarget.com/fulltext/23857
Publisher Site
http://dx.doi.org/10.18632/oncotarget.23857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880613PMC
March 2018
3 Reads

Hypertension as the trigger for posterior reversible encephalopathy syndrome in paediatric renal patients: An important diagnosis that should not be missed.

S Afr Med J 2018 Mar 28;108(4):325-328. Epub 2018 Mar 28.

Department of Paediatrics, Chris Hani Baragwanath Academic Hospital and Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Background: Posterior reversible encephalopathy syndrome (PRES) is a reversible neurological condition presenting with seizures and visual disturbances and diagnosed on magnetic resonance imaging (MRI). Little is understood about its pathogenesis, particularly in children, but it is thought to be related to hypertension.

Objectives: To review the presentation, diagnosis and outcome of PRES in paediatric renal patients at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa, between 1 January 2000 and 31 January 2017 and compare these with published case reports to date. Read More

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http://dx.doi.org/10.7196/SAMJ.2017.v108i4.12816DOI Listing
March 2018
2 Reads

Imaging of neurovascular emergencies in pregnancy and puerperium.

Emerg Radiol 2018 Aug 6;25(4):435-440. Epub 2018 Apr 6.

Department of Neuroimaging and Interventional Radiology, NIMHANS, Bangalore, 560029, India.

Acute neurovascular events, though rare, can complicate pregnancy and postpartum period. It is important to be aware of these clinical conditions for reducing maternal and fetal morbidity and mortality. In this review, we present a few important neurovascular emergencies and their imaging manifestations by various imaging modalities-computed tomography (CT), magnetic resonance imaging (MRI), and digital subtraction angiography (DSA)-which presented at our institution in the peripartum period. Read More

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http://dx.doi.org/10.1007/s10140-018-1600-4DOI Listing
August 2018
4 Reads