Download PDF
Neuropediatrics 2017; 48(02): 115-118
DOI: 10.1055/s-0036-1597612
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Reversible Hypertensive Myelopathy—The Spinal Cord Variant of Posterior Reversible Encephalopathy Syndrome

Rahsan Gocmen
1   Department of Radiology, Hacettepe University, Ankara, Turkey
,
Didem Ardicli
2   Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey
,
Yasin Erarslan
1   Department of Radiology, Hacettepe University, Ankara, Turkey
,
Ali Duzova
3   Department of Pediatrics, Division of Pediatric Nephrology, Hacettepe University, Ankara, Turkey
,
Banu Anlar
2   Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey
› Author Affiliations
Further Information

Publication History

21 September 2016

08 November 2016

Publication Date:
29 December 2016 (online)

Also available at
    Permissions and Reprints

Abstract

The posterior reversible encephalopathy syndrome (PRES) is a well-known clinical and radiologic entity mainly affecting the territory of the posterior cerebral circulation. Spinal cord involvement is extremely rare, and as of yet, only a few cases have been reported in the literature. The present case describes a reversible, longitudinal spinal cord lesion in a patient with high blood pressure. We discuss the differential diagnosis of longitudinal myelopathy and focus on the clinical presentation, diagnosis, and management of the “spinal cord variant of PRES.”

Keywords

spinal cord - PRES - magnetic resonance imaging
 

  • References

  • 1 Bartynski WS, Boardman JF. Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome. AJNR Am J Neuroradiol 2007; 28 (7) 1320-1327
    CrossrefPubMedSearch in Google Scholar
  • 2 Ract I, Poujade A, Carsin-Nicol B, Mouriaux F, Ferré JC. Spinal cord involvement in posterior reversible encephalopathy syndrome (PRES). J Neuroradiol 2016; 43 (1) 56-58
    CrossrefPubMedSearch in Google Scholar
  • 3 Khokhar HV, Choudhary P, Saxena S, Arif M. Posterior reversible encephalopathy syndrome with spinal cord involvement (PRES-SCI): a case report. Ann Indian Acad Neurol 2016; 19 (1) 134-136
    CrossrefPubMedSearch in Google Scholar
  • 4 Hou X, Xu J, Chen Z, Li G, Jiang H. Posterior reversible encephalopathy syndrome with involvement of the cervical cord and medulla: a case report. J Clin Diagn Res 2015; 9 (1) CD01-CD02
    PubMedSearch in Google Scholar
  • 5 Yiş U, Karaoğlu P, Kurul SH, Soylu A, Çakmakçi H, Kavukçu S. Posterior reversible leukoencephalopathy syndrome with spinal cord involvement in a 9-year-old girl. Brain Dev 2016; 38 (1) 154-157
    CrossrefPubMedSearch in Google Scholar
  • 6 Lapuyade B, Sibon I, Jeanin S, Dousset V. Neurological picture. Spinal cord involvement in posterior reversible encephalopathy syndrome. J Neurol Neurosurg Psychiatry 2009; 80 (1) 35
    CrossrefPubMedSearch in Google Scholar
  • 7 de Havenon A, Joos Z, Longenecker L, Shah L, Ansari S, Digre K. Posterior reversible encephalopathy syndrome with spinal cord involvement. Neurology 2014; 83 (22) 2002-2006
    CrossrefPubMedSearch in Google Scholar
  • 8 Choh NA, Jehangir M, Rasheed M, Mira T, Ahmad I, Choh S. Involvement of the cervical cord and medulla in posterior reversible encephalopathy syndrome. Ann Saudi Med 2011; 31 (1) 90-92
    CrossrefPubMedSearch in Google Scholar
  • 9 Nagato M, Takahashi Y, Yoshioka M, Nambu M. A case of hypertensive encephalopathy with extensive spinal lesions on MRI. Brain Dev 2010; 32 (7) 598-601
    CrossrefPubMedSearch in Google Scholar
  • 10 Briganti C, Caulo M, Notturno F, Tartaro A, Uncini A. Asymptomatic spinal cord involvement in posterior reversible encephalopathy syndrome. Neurology 2009; 73 (18) 1507-1508
    CrossrefPubMedSearch in Google Scholar
  • 11 Milia A, Moller J, Pilia G , et al. Spinal cord involvement during hypertensive encephalopathy: clinical and radiological findings. J Neurol 2008; 255 (1) 142-143
    CrossrefPubMedSearch in Google Scholar
  • 12 Chen TH, Lin WC, Kao WT, Tseng CM, Tseng YH. Posterior reversible encephalopathy syndrome in children: clinicoradiologic findings and a retrospective comparison between adult and pediatric patients. J Child Neurol 2016;
    PubMedSearch in Google Scholar
  • 13 Trebst C, Raab P, Voss EV , et al. Longitudinal extensive transverse myelitis--it's not all neuromyelitis optica. Nat Rev Neurol 2011; 7 (12) 688-698
    CrossrefPubMedSearch in Google Scholar
  • 14 Yetim E, Gocmen R, Topcuoglu MA, Arsava EM. Reversible white matter edema in dialysis disequilibrium syndrome. J Neuroradiol 2015; 42 (4) 247-249
    CrossrefPubMedSearch in Google Scholar