Neurocritical Care

, Volume 3, Issue 1, pp 46–50 | Cite as

Posterior reversible encephalopathy syndrome on computed tomography perfusion in a patient on “triple H” therapy

  • Pina C. Sanelli
  • Melissa A. Jacobs
  • Igor Ougorets
  • Matthew J. Mifsud
Practical Pearl


Introduction: This article reports a case of posterior reversible encephalopathy syndrome on compyted tomography (CT) perfusion in a patient on “Triple H” (hypertension, hypervolemia, and hemodilution) therapy following aneurysmal rupture repair.

Case Report: “Triple H” therapy is used in the postoperative course for treatment of vasospasm to prevent stroke and hemorrhage by maintaining cerebral perfusion pressure.

Discussion: A potential complication includes vasogenic edema from dysfunction of cerebral blood vessel autoregulation. CT perfusion can detect alterations in cerebral blood flow and volume caused by these hemodynamic changes.

Key Words

CT perfusion posterior reversible encephalopathy syndrome (PRES) “Triple H” therapy vasospasm hypertension 


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Copyright information

© Humana Press Inc 2005

Authors and Affiliations

  • Pina C. Sanelli
    • 3
  • Melissa A. Jacobs
    • 3
  • Igor Ougorets
    • 1
  • Matthew J. Mifsud
    • 2
  1. 1.Department of Neurology, NY Presbyterian HospitalWeill Medical College of Cornell UniversityNew York
  2. 2.Boston CollegeBoston
  3. 3.Department of Radiology, NY Presbyterian HospitalWeill Medical College of Cornell UniversityNew York

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