open access

Vol 2, No 2 (2017)
CASE REPORTS
Published online: 2017-06-28
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Vision deterioration in posterior reversible encephalopathy syndrome (PRES)

Dariusz Baranowski, Konrad Rejdak, Agnieszka Kiszka, Katarzyna Nowomiejska, Robert Rejdak
DOI: 10.5603/OJ.2017.0015
·
Ophthalmology J 2017;2(2):61-67.

open access

Vol 2, No 2 (2017)
CASE REPORTS
Published online: 2017-06-28

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.

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.

Get Citation

Keywords

vision deterioration, posterior reversible encephalopathy syndrome, posterior leukoencephalopathy syndrome, PRES

About this article
Title

Vision deterioration in posterior reversible encephalopathy syndrome (PRES)

Journal

Ophthalmology Journal

Issue

Vol 2, No 2 (2017)

Pages

61-67

Published online

2017-06-28

DOI

10.5603/OJ.2017.0015

Bibliographic record

Ophthalmology J 2017;2(2):61-67.

Keywords

vision deterioration
posterior reversible encephalopathy syndrome
posterior leukoencephalopathy syndrome
PRES

Authors

Dariusz Baranowski
Konrad Rejdak
Agnieszka Kiszka
Katarzyna Nowomiejska
Robert Rejdak

References (5)
  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.

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