Akademik Veri Yönetim Sistemi
KOREAN JOURNAL OF RADIOLOGY, cilt.16, sa.5, ss.1104-1108, 2015 (SCI-Expanded)
Posterior reversible encephalopathy syndrome (PRES) is usually a reversible clinical and radiological entity associated with typical features on brain MR or CT imaging. However, the not-so-uncommon atypical radiological presentations of the condition are also present and they may go unrecognised as they are confused with other conditions. Here, we report a very rare case of atypical, unilateral PRES in a 49-year-old uremic, post-transplant female patient who presented with seizures. Initial MRI showed high-grade occlusion of the left middle cerebral artery (MCA) and Lesions suggestive of subacute infarction in the ipsilateral frontotemporoparietal Lobe. Patient symptoms had resolved a day after the onset without any specific treatment but early follow-up CT findings suggested hemorrhagic transformation. Follow-up MRI performed 2 years Later showed complete disappearence of the lesions and persisting MCA occlusion.