International Journal of Clinical Research

Reversible posterior encephalopathy syndrome is a clinical imaging syndrome with various etiologies, mostly accompanied by more severe underlying diseases. The most common neuroimaging abnormalities in PRES involve subcortical white matter in the posterior hemisphere of the brain, especially in the bilateral parietal and occipital lobes. The difference between PRES and bilateral posterior cerebral artery infarction is that the structures adjacent to the midline of the occipital lobe and the spinous fissure are usually preserved. Most PRES patients have bilateral edema lesions in the occipital and parietal lobes. This article reports a patient with post-stroke pain and blurred vision who was diagnosed with Pres through cranial MRI examination. After dehydration, improvement of circulation, symptomatic treatment, etc., the patients prognosis was good, and clinical symptoms and imaging changes completely disappeared, thereby enhancing clinical physicians understanding of the disease. This article summarizes the diagnosis and treatment process of the patient in order to provide reference for relevant medical records.

Reversible posterior encephalopathy syndrome; Imaging; Posterior hemisphere of the brain; Head MRI