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  • Title: Life-threatening posterior reversible encephalopathy syndrome in the cerebellum treated by posterior fossa decompression.
    Author: Abusabha Y, Petridis AK, Kraus B, Kamp MA, Steiger HJ, Beseoglu K.
    Journal: Acta Neurochir (Wien); 2017 Jul; 159(7):1325-1328. PubMed ID: 28547518.
    Abstract:
    Posterior reversible encephalopathy syndrome (PRES) is a clinico-neuroradiological syndrome associated with various clinical conditions, such as headache, encephalopathy, and seizures. It is reversible if a prompt diagnosis is made and treatment undertaken. We report a 52-year-old male with hypertensive crisis. Progressing somnolence and an unresponsive left pupil occurred. MRI revealed an intra-axial hyperintensity of the cerebellum and brainstem and occlusive hydrocephalus suggestive of encephalitis or a tumor. Because of the life-threatening clinical picture, posterior fossa decompression was performed. Histopathology failed to identify any pathology. After decompression, the edema improved immediately. Under life-threatening conditions, a decompressive craniectomy in PRES seems to achieve the same results as supportive treatment.
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