Posterior Reversible Encephalopathy Syndrome (PRES) as a Differential of Sepsis and Isolated Pons Hyperintensity: A Case ReportPuneet Chopra1, Rupinder Singh Bhatia2, Sandeep Singh Pawar3and Kanwalpreet Sodhi1*
- Corresponding Author:
- Kanwalpreet Sodhi
Consultant, Department of Critical Care
SPS Hospitals, Ludhiana (Pb), India
Tel: 088720 27036
E-mail: [email protected]
Received October 21, 2015; Accepted April 22, 2016; Published April 29, 2016
Citation: Chopra P, Bhatia RS, Pawar SS, Sodhi K (2016) Posterior Reversible Encephalopathy Syndrome (PRES) as a Differential of Sepsis and Isolated Pons Hyperintensity: A Case Report. Emerg Med (Los Angel) 6:318. doi:10.4172/2165-7548.1000318
Copyright: © 2016 Chopra P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Posterior reversible encephalopathy (PRES) is a clinico-neuroradiological transient entity with atypical clinical presentation and hyper-intensities in posterior regions of brain on T2 weighted sequence in magnetic resonance imaging. A well-known condition among neuro-radiologists, PRES is still unfamiliar to many intensive care clinicians. Delay in diagnosis may lead to additional morbidity and prolonged ICU stay. So the intensivists should be well aware of this syndrome since prompt recognition and precocious treatment have prognostic implications. We present an unusual case of PRES in association with sepsis and an atypical MRI finding of isolated pontine lesion.