Acute Bilateral Posterior Cerebral Artery Infarction mimicking Posterior Reversible Encephalopathy Syndrome


  • นิยุตตา ทักษิญ Department of Medicine, Uttaradit Hospital


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


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.


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How to Cite

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:



Case Report