Vol 2, No 2 (2017)
Case report
Published online: 2017-06-28

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Vision deterioration in posterior reversible encephalopathy syndrome (PRES)

Dariusz Baranowski1, Konrad Rejdak1, Agnieszka Kiszka2, Katarzyna Nowomiejska2, Robert Rejdak2
Ophthalmol J 2017;2(2):61-67.

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a poorly understood, severe neurological condition secondary to impaired auto-regulation in the vertebrobasilar brain circulation resulting in subcortical vasogenic oedema distributed mainly in the white mater of the parietal and occipital lobes. Affecting optic radiation, PRES leads to visual deterioration, e.g. blurred vision, different types of vision field deficits, or even total blindness. The symptoms have a sudden onset and rapid progression, but are usually at least partially reversible. To bring this rare disorder closer to ophthalmologists, we present two cases of patients diagnosed with PRES.

References

  1. Stevens CJ, Heran MKS. The many faces of posterior reversible encephalopathy syndrome. Br J Radiol. 2012; 85(1020): 1566–1575.
  2. Thompson RJ, Sharp B, Pothof J, et al. Posterior reversible encephalopathy syndrome in the emergency department: case series and literature review. West J Emerg Med. 2015; 16(1): 5–10.
  3. Zhang Yu, Zhou J, Chen Yu. Posterior reversible encephalopathy syndrome in a child with steroid-resistant nephrotic syndrome: a case report and review of literature. Int J Clin Exp Pathol. 2014; 7(7): 4433–4437.
  4. Hammer ES, Cipolla MJ. Cerebrovascular dysfunction in preeclamptic pregnancies. Curr Hypertens Rep. 2015; 17(8): 64.
  5. Hugonnet E, Da Ines D, Boby H, et al. Posterior reversible encephalopathy syndrome (PRES): features on CT and MR imaging. Diagn Interv Imaging. 2013; 94(1): 45–52.