Hypertensive posterior reversible encephalopathy causing obstructive hydrocephalus.

Cerebral autoregulation Hypertensive encephalopathy Obstructive hydrocephalus Posterior fossa oedema

Journal

Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836

Informations de publication

Date de publication:
2023
Historique:
received: 19 10 2022
accepted: 03 03 2023
medline: 8 4 2023
entrez: 7 4 2023
pubmed: 8 4 2023
Statut: epublish

Résumé

Posterior reversible encephalopathy syndrome (PRES) can occur due to the detrimental effect of malignant hypertension on cerebral autoregulation. Most reported cases describe involvement of the supratentorial areas. Involvement of the posterior fossa structures in conjunction with supratentorial involvement has also been reported; however, PRES affecting the infratentorial structures without supratentorial involvement is a rare phenomenon. Clinical manifestations can involve severe headache, seizures, and reduced consciousness with treatment focused primarily on blood pressure control. We report a case of PRES with isolated involvement of the infratentorial structures leading to obstructive hydrocephalus. The patient was managed with aggressive control of blood pressure and avoided ventriculostomy or posterior fossa decompression with a good outcome. Medical management in the absence of neurological deficit can be associated with a good outcome.

Sections du résumé

Background UNASSIGNED
Posterior reversible encephalopathy syndrome (PRES) can occur due to the detrimental effect of malignant hypertension on cerebral autoregulation. Most reported cases describe involvement of the supratentorial areas. Involvement of the posterior fossa structures in conjunction with supratentorial involvement has also been reported; however, PRES affecting the infratentorial structures without supratentorial involvement is a rare phenomenon. Clinical manifestations can involve severe headache, seizures, and reduced consciousness with treatment focused primarily on blood pressure control.
Case Description UNASSIGNED
We report a case of PRES with isolated involvement of the infratentorial structures leading to obstructive hydrocephalus. The patient was managed with aggressive control of blood pressure and avoided ventriculostomy or posterior fossa decompression with a good outcome.
Conclusion UNASSIGNED
Medical management in the absence of neurological deficit can be associated with a good outcome.

Identifiants

pubmed: 37025546
doi: 10.25259/SNI_963_2022
pii: 10.25259/SNI_963_2022
pmc: PMC10070290
doi:

Types de publication

Case Reports

Langues

eng

Pagination

94

Informations de copyright

Copyright: © 2023 Surgical Neurology International.

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Saad Moughal (S)

Department of Neuroradiology, Leeds Teaching Hospitals NHS Trust, Leeds.

Sana Ahmad (S)

Department of Medicine, Pinderfields General Hospital, Wakefield.

Nayyar Saleem (N)

Department of Neuroradiology, Leeds Teaching Hospitals NHS Trust, Leeds.

Chris Derham (C)

Department of Neurosurgery, Leeds General Infirmary, Leeds, United Kingdom.

Classifications MeSH