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Asymmetric reversible posterior leukoencephalopathy syndrome

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Abstract

Reversible posterior leukoencephalopathy syndrome (RPLS) is characterized radiographically by magnetic resonance imaging as white matter hyperintensities, which reflect cerebral edema. These changes are typically restricted to the parietal and occipital lobes, and are usually quite symmetric. We report a case of asymmetric RPLS involving only one frontal lobe in a patient with severe hypertension chronic internal carotid artery stenosis, and ipsilateral vasogenic edema.

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References

  1. Chester EM, Agamanolis DP, Banker BQ, et al. Hypertensive encephalopathy: a clinicopathologic study of 20 cases. Neurology 1978;28:928–939.

    PubMed  CAS  Google Scholar 

  2. Singhal AB. Postpartum angiopathy with reversible posterior leukoencephalopathy. Arch Neurol 2004;61:411–416.

    Article  PubMed  Google Scholar 

  3. Stott VL, Hurrell MA, Anderson TJ. Reversible posterior leukoencephalopathy syndrome: a misnomer reviewed. Int Med J 2005;35:83–90.

    Article  CAS  Google Scholar 

  4. Schaefer PW, Buonanno FS, Gonzales RG, et al. Diffusion-weighted imaging discriminates between cytotoxic and vasogenic edema in a patient with eclampsia Stroke 1997;28:1082–1085.

    PubMed  CAS  Google Scholar 

  5. Lamy C, Oppenheim C, Méder JF, et al. Neuromaging in posterior reversible encephalopathy syndrome. J Neuroimaging 2004;14:89–96.

    Article  PubMed  CAS  Google Scholar 

  6. Ahn KJ, You WJ, Jeong SL. Atypical manifestations of reversible posterior leukoencephalopathy syndrome: findings on diffusion imaging and ADC mapping. Neuroradiology 2004;46:978–983.

    Article  PubMed  CAS  Google Scholar 

  7. Karapanayiotides T, Meuli R, Devuyst G, et al. Postcarotid endarterectomy hyperperfusion or reperfusion syndrome. Stroke 36: 21–26.

  8. Jorgensen LG, Schroeder TV. Defective cerebrovascular autoregulation after carotid endarterectomy Eur J Vasc Surg 1993;7:370–379.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Neurology, ACC 835, Massachusetts General Hospital, 35 Fruit Street, 02114, Boston, MA

    Heidi M. Schambra & David M. Greer

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  1. Heidi M. Schambra
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  2. David M. Greer
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Correspondence to David M. Greer.

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Schambra, H.M., Greer, D.M. Asymmetric reversible posterior leukoencephalopathy syndrome. Neurocrit Care 4, 245–247 (2006). https://doi.org/10.1385/NCC:4:3:245

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  • DOI: https://doi.org/10.1385/NCC:4:3:245

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