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Clinics and Practice
Volume 4
Issue 1
10.4081/cp.2014.632
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Posterior Reversible Encephalopathy Syndrome Mimicking Cerebral Metastasis: Contraindication for Biopsy

by
Dukagjin Morina
,
Georgios Ntoulias
,
Homajoun Maslehaty
,
Martin Scholz
and
Athanasios K. Petridis
*
Department of Neurosurgery, Wedau Kliniken, Duisburg, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2014, 4(1), 632; https://doi.org/10.4081/cp.2014.632
Submission received: 20 January 2014 / Revised: 6 March 2014 / Accepted: 24 March 2014 / Published: 27 March 2014

Abstract

The posterior reversible encephalopathy syndrome (PRES) is a well described entity of white matter pathology. PRES is triggered by numerous different factors such as acute elevated arterial hypertension, immunosupressive therapy, chemotherapy, etc. The case of a 67-year old woman is presented. The patient was treated for breast cancer 10 months ago and because of acute disorientation a magnetic resonance imaging (MRI) was performed. In the MRI biparieto-occipital hyperintense lesions were seen. Brain metastases were suspected. After chemothe - rapy and hypertonia and the typical appearance of the lesions in the MRI, PRES was also suspected. Before initializing the surgery for an open biopsy a follow-up MRI had been performed (2 weeks after initial MRI). In follow-up MRI the lesions disappeared completely proving the diagnosis of PRES. PRES can be misdiagnosed as a tumour and surgery could be mistakenly performed. It’s important to keep the differential diagnosis of PRES in mind when radiologic features of the syndrome are present.
Keywords: posterior reversible encephalopathy posterior reversible encephalopathy

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MDPI and ACS Style

Morina, D.; Ntoulias, G.; Maslehaty, H.; Scholz, M.; Petridis, A.K. Posterior Reversible Encephalopathy Syndrome Mimicking Cerebral Metastasis: Contraindication for Biopsy. Clin. Pract. 2014, 4, 632. https://doi.org/10.4081/cp.2014.632

AMA Style

Morina D, Ntoulias G, Maslehaty H, Scholz M, Petridis AK. Posterior Reversible Encephalopathy Syndrome Mimicking Cerebral Metastasis: Contraindication for Biopsy. Clinics and Practice. 2014; 4(1):632. https://doi.org/10.4081/cp.2014.632

Chicago/Turabian Style

Morina, Dukagjin, Georgios Ntoulias, Homajoun Maslehaty, Martin Scholz, and Athanasios K. Petridis. 2014. "Posterior Reversible Encephalopathy Syndrome Mimicking Cerebral Metastasis: Contraindication for Biopsy" Clinics and Practice 4, no. 1: 632. https://doi.org/10.4081/cp.2014.632

APA Style

Morina, D., Ntoulias, G., Maslehaty, H., Scholz, M., & Petridis, A. K. (2014). Posterior Reversible Encephalopathy Syndrome Mimicking Cerebral Metastasis: Contraindication for Biopsy. Clinics and Practice, 4(1), 632. https://doi.org/10.4081/cp.2014.632

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