EURORAD ESR

Case 10406

An atypical case of posterior reversible encephalopathy syndrome

Author(s)
Martin S., Haller S.

Hôpitaux Universitaires de Genève (HUG)
Rue Gabrielle-Perret-Gentil 4
1205 Genève
Switzerland
Email:steve.martin@hcuge.ch
 
Patient
male, 23 year(s)
 
 
  • Figure 1
    Axial cerebral non-enhanced CT examination
     

    No specific abnormality, in particular no intracranial haemorrhage.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Normal variants; Special Focus: Seizure disorders;

    No specific abnormality, in particular no intracranial haemorrhage.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Normal variants; Special Focus: Seizure disorders;
     
     
  • Figure 2
    Initial axial DWI MRI examination
     

    Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction; Seizure disorders;

    Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
  • Figure 3
    Initial axial FLAIR MPR MRI examination
     

    Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;

    Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Seizure disorders;
     
     
  • Figure 4
    Follow-up axial DWI MRI examination
     

    Complete resolution of the hyper-intensities previously seen two weeks before.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Complete resolution of the hyper-intensities previously seen two weeks before.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR-Diffusion/Perfusion; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Complete resolution of the hyper-intensities previously seen two weeks before.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    Follow-up axial FLAIR MPR MRI examination
     

    Complete resolution of the hyper-intensities previously seen two weeks ago.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Complete resolution of the hyper-intensities previously seen two weeks ago.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Complete resolution of the hyper-intensities previously seen two weeks ago.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
No specific abnormality, in particular no intracranial haemorrhage.
 
No specific abnormality, in particular no intracranial haemorrhage.
 
Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities DWI in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Hyper-intensities FLAIR in frontal, parietal cortex, in caudate nuclei and similar infratentorial impairment.
 
Complete resolution of the hyper-intensities previously seen two weeks before.
 
Complete resolution of the hyper-intensities previously seen two weeks before.
 
Complete resolution of the hyper-intensities previously seen two weeks before.
 
Complete resolution of the hyper-intensities previously seen two weeks ago.
 
Complete resolution of the hyper-intensities previously seen two weeks ago.
 
Complete resolution of the hyper-intensities previously seen two weeks ago.
 
 
 
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