yemenjmedYemen Journal of MedicinecoVolume 3 Issue 1MultidisciplinaryEnglishJanuary-April 2024NNY20240511ArticleIntracerebral hemorrhage developing in a patient with posterior reversible encephalopathy syndrome; a case reportEnglishY6062HaticeGüldal1EnglishNAziz AlperAyaslı2EnglishYAlp Kaan FurkanKıcıroğlu1EnglishYSalihKarakoyun3EnglishYMustafaBoğan3EnglishY10.32677/yjm.v3i1.4326We describe a case of hemorrhagic posterior reversible encephalopathy syndrome (PRES) in a 19-year-old woman, who had undergone a cesarean section for epilepsy and lupus-related chronic renal failure 2 months ago, and presented to the emergency department with complaints of blurred vision. The neurological and ophthalmological examinations were normal. Despite the initial imaging being normal, subsequent magnetic resonance images showed hyperintensity in bilateral occipital lobes and cerebellum (indicative of PRES) and watershed ischemia in addition to intracerebral hemorrhage. Brain surgery was performed, external ventricular drainage was placed and she was monitored postoperatively with routine care in the intensive care unit where she remained intubated for a month, after which she died of the consequences of her condition.EnglishEmergency department, Intracerebral hemorrhage, Posterior reversible encephalopathy syndromehttps://yemenjmed.com/admin/abstract?id=102References1619Patel SP, Jarbath M, Saravis L, et al. Pheochromocytoma manifesting as cortical blindness secondary to PRES with associated TMA: a case report and literature review. BMC Endocr Disord. 2022;22(1):205.Chaudhuri J, Basu S, Roy MK, et al. Posterior Reversible Leucoencephalopathy Syndrome: Case Series, Comments, and Diagnostic Dilemma. Curr Neurol Neurosci Rep. 2023;23(8):433-449.Baisya R, Kumar Devarasetti P, Narayanan R, et al. Posterior reversible encephalopathy syndrome in juvenile lupus- a case series and literature review. Lupus. 2022;31(5):606-612.Triplett JD, Kutlubaev MA, Kermode AG, et al. Posterior reversible encephalopathy syndrome (PRES): diagnosis and management. Pract Neurol. 2022;22(3):183-189.Aranas RM, Prabhakaran S, Lee VH. Posterior reversible encephalopathy syndrome associated with hemorrhage. Neurocrit Care. 2009;10(3):306-312.Fischer M, Schmutzhard E. Posterior reversible encephalopathy syndrome. J Neurol. 2017;264(8):1608-1616. Bartynski WS, Tan HP, Boardman JF, et al. Posterior reversible encephalopathy syndrome after solid organ transplantation. AJNR Am Soc Neuroradiology. 2008; 29 (5):924and;ndash;930. Masetti R, Cordelli DM, Zama D, et al. PRES in children undergoing hematopoietic stem cell or solid organ transplantation. Pediatrics. 2015; 135 (5):890and;ndash;901.Fugate JE, Rabinstein AA. Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions. Lancet Neurology. 2015; 14 (9):914and;ndash;925. Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. American Journal of Neuroradiology, 2008; 29 (6):1036and;ndash;1042. Fugate JE, Rabinstein AA. Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions. Lancet Neurol. 2015;14(9):914-925. Sulaiman TO, Yasin AK, Ismail A. A case of cyclophosphamide-induced posterior reversible encephalopathy syndrome: Is it dose-related side effect? Yemen J Med. 2022;1(2):103-107.Gewirtz AN, Gao V, Parauda SC, et al. Posterior Reversible Encephalopathy Syndrome. Curr Pain Headache Rep. 2021;25(3):19. Shankar J, Banfield J. Posterior Reversible Encephalopathy Syndrome: A Review. Can Assoc Radiol J. 2017;68(2):147-153. Bartynski, W. S.Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. American Journal of Neuroradiology, 2008: 29(6), 1036-1042.Servillo G, Bifulco F, De Robertis E, et al. Posterior reversible encephalopathy syndrome in intensive care medicine. Intensive Care Med 2007;33(2):230-6. Marchetti A, Magar R, Fischer J, et al. A pharmacoeconomic evaluation of intravenous fosphenytoin (Cerebyx) versus intravenous phenytoin (Dilantin) in hospital emergency departments. Clin Ther1996;18(5):953-66. and;Ccedil;ETİN, G. Y. Posterior Reversibl Ensefalopati Sendromu: Sistemik Lupus Eritematozuslu hastalarda gand;ouml;rand;uuml;len nadir ve acil klinik bir antite. Kahramanmaraş Sand;uuml;tand;ccedil;and;uuml; İmam and;Uuml;niversitesi Tıp Fakand;uuml;ltesi Dergisi, 2023; 15(2): 116-119.Legriel S, Schraub O, Azoulay E, et al. Determinants of recovery from severe posterior reversible encephalopathy syndrome. PLoS One 2012;7(9):e44534. doi: 10.1371/journal.pone.0044534.