2018
DOI: 10.2176/nmc.cr.2018-0049
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Posterior Reversible Encephalopathy Syndrome and Guillain-Barré Syndrome after Head Injury: Case Report

Abstract: We report a case of head injury with posterior reversible encephalopathy syndrome (PRES), followed by Guillain-Barré syndrome (GBS). A 74-year-old man was brought to our hospital after a fall. Computed tomography revealed intracranial hemorrhage. Magnetic resonance imaging showed bilateral reversible intensities with features of vasogenic edema in parietooccipital areas, suggesting PRES. After admission, weakness and areflexia of extremities and respiratory muscles developed gradually, which favored a diagnosi… Show more

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Cited by 13 publications
(2 citation statements)
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“…Only 14 cases have been reported in literature. [1][2][3] PRES is a syndrome characterised by headache, altered sensorium, seizures, visual impairment and focal neurological deficits, and commonly associated with hypertension, eclampsia and a variety of conditions. MRI of the brain typically shows posterior (parietooccipital white matter) symmetric vasogenic oedema that is hyperintense on T2-weighted image and fluid-attenuated inversion recovery.…”
Section: Discussionmentioning
confidence: 99%
“…Only 14 cases have been reported in literature. [1][2][3] PRES is a syndrome characterised by headache, altered sensorium, seizures, visual impairment and focal neurological deficits, and commonly associated with hypertension, eclampsia and a variety of conditions. MRI of the brain typically shows posterior (parietooccipital white matter) symmetric vasogenic oedema that is hyperintense on T2-weighted image and fluid-attenuated inversion recovery.…”
Section: Discussionmentioning
confidence: 99%
“…The [ 1 , 2 ] common clinical symptom of GBS is ascending paralysis which results in symmetrical leg weakness in patients. In addition, the GBS patients typically suffer from the weakness of extremities, body, and even cranial nerve in just a few hours and several days [ 3 5 ], and their lower limbs are more affected than upper limbs, which finally leads to flaccid paralysis and the weakness or disappearance of tendon reflex. Generally, in the early stage of GBS, the disappearance of tendon reflex, dysfunction, and even speech disorders such as aphasia may occur in children patients, and some children have mild muscle atrophy or disuse atrophy after long-term staying in bed [ 6 9 ].…”
Section: Introductionmentioning
confidence: 99%