Acute Bilateral Posterior Cerebral Artery Infarction mimicking Posterior Reversible Encephalopathy Syndrome

Authors

  • นิยุตตา ทักษิญ Department of Medicine, Uttaradit Hospital

Keywords:

posterior cerebral artery infarction, posterior reversible encephalopathy, seizure, stroke, visual loss

Abstract

Posterior reversible encephalopathy syndrome (PRES) describes a usually reversible neurologic syndrome with a variety of presenting symptoms from headache, altered mental status, seizure, abnormalities of visual perception and visual loss.1,2 We report a patient presenting with headache, generalize tonic clonic seizure, visual loss, elevated blood pressure, and computed tomography (CT) characteristics of PRES. But A followed magnetic resonance imaging (MRI) shows acute bilateral posterior cerebral artery (PCA) infarction. To our knowledge this is the first case report that acute bilateral posterior cerebral artery infarction may present with generalized tonic clonic seizure and visual loss. It is crucial that physicians are aware of stroke in uncommon presentation to promptly institute appropriate management to achieve the best outcomes for patients.

References

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4. Bartynski WS, Boardman JF. Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome. AJNR Am J Neuroradiol. 2007;28(7):1320-7.

5. Caplan LR. Posterior Circulation Disease: Clinical Findings, Diagnosis, and Management. Cambridge, MA: Blackwell Scientific Publications; 1996.

6. Brandt T, Steinke W, Thie A, Pessin MS, Caplan LR. Posterior cerebral artery territory infarcts: clinical features, infarct topography, causes and outcome. Multicenter results and a review of the literature. Cerebrovasc Dis. 2000;10(3):170-82.

7. Merwick A, Werring D. Posterior circulation ischaemic stroke. BMJ (Clinical research ed). 2014;348:g3175.

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Published

2019-08-20

How to Cite

1.
ทักษิญ น. Acute Bilateral Posterior Cerebral Artery Infarction mimicking Posterior Reversible Encephalopathy Syndrome. J Thai Stroke Soc [Internet]. 2019 Aug. 20 [cited 2024 Jun. 22];18(2):76-83. Available from: https://he01.tci-thaijo.org/index.php/jtss/article/view/185096

Issue

Section

Case Report