Neuropediatrics 2017; 48(02): 115-118
DOI: 10.1055/s-0036-1597612
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Reversible Hypertensive Myelopathy—The Spinal Cord Variant of Posterior Reversible Encephalopathy Syndrome

Rahsan Gocmen
1   Department of Radiology, Hacettepe University, Ankara, Turkey
,
Didem Ardicli
2   Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey
,
Yasin Erarslan
1   Department of Radiology, Hacettepe University, Ankara, Turkey
,
Ali Duzova
3   Department of Pediatrics, Division of Pediatric Nephrology, Hacettepe University, Ankara, Turkey
,
Banu Anlar
2   Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey
› Author Affiliations
Further Information

Publication History

21 September 2016

08 November 2016

Publication Date:
29 December 2016 (online)

Abstract

The posterior reversible encephalopathy syndrome (PRES) is a well-known clinical and radiologic entity mainly affecting the territory of the posterior cerebral circulation. Spinal cord involvement is extremely rare, and as of yet, only a few cases have been reported in the literature. The present case describes a reversible, longitudinal spinal cord lesion in a patient with high blood pressure. We discuss the differential diagnosis of longitudinal myelopathy and focus on the clinical presentation, diagnosis, and management of the “spinal cord variant of PRES.”

 
  • References

  • 1 Bartynski WS, Boardman JF. Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome. AJNR Am J Neuroradiol 2007; 28 (7) 1320-1327
  • 2 Ract I, Poujade A, Carsin-Nicol B, Mouriaux F, Ferré JC. Spinal cord involvement in posterior reversible encephalopathy syndrome (PRES). J Neuroradiol 2016; 43 (1) 56-58
  • 3 Khokhar HV, Choudhary P, Saxena S, Arif M. Posterior reversible encephalopathy syndrome with spinal cord involvement (PRES-SCI): a case report. Ann Indian Acad Neurol 2016; 19 (1) 134-136
  • 4 Hou X, Xu J, Chen Z, Li G, Jiang H. Posterior reversible encephalopathy syndrome with involvement of the cervical cord and medulla: a case report. J Clin Diagn Res 2015; 9 (1) CD01-CD02
  • 5 Yiş U, Karaoğlu P, Kurul SH, Soylu A, Çakmakçi H, Kavukçu S. Posterior reversible leukoencephalopathy syndrome with spinal cord involvement in a 9-year-old girl. Brain Dev 2016; 38 (1) 154-157
  • 6 Lapuyade B, Sibon I, Jeanin S, Dousset V. Neurological picture. Spinal cord involvement in posterior reversible encephalopathy syndrome. J Neurol Neurosurg Psychiatry 2009; 80 (1) 35
  • 7 de Havenon A, Joos Z, Longenecker L, Shah L, Ansari S, Digre K. Posterior reversible encephalopathy syndrome with spinal cord involvement. Neurology 2014; 83 (22) 2002-2006
  • 8 Choh NA, Jehangir M, Rasheed M, Mira T, Ahmad I, Choh S. Involvement of the cervical cord and medulla in posterior reversible encephalopathy syndrome. Ann Saudi Med 2011; 31 (1) 90-92
  • 9 Nagato M, Takahashi Y, Yoshioka M, Nambu M. A case of hypertensive encephalopathy with extensive spinal lesions on MRI. Brain Dev 2010; 32 (7) 598-601
  • 10 Briganti C, Caulo M, Notturno F, Tartaro A, Uncini A. Asymptomatic spinal cord involvement in posterior reversible encephalopathy syndrome. Neurology 2009; 73 (18) 1507-1508
  • 11 Milia A, Moller J, Pilia G , et al. Spinal cord involvement during hypertensive encephalopathy: clinical and radiological findings. J Neurol 2008; 255 (1) 142-143
  • 12 Chen TH, Lin WC, Kao WT, Tseng CM, Tseng YH. Posterior reversible encephalopathy syndrome in children: clinicoradiologic findings and a retrospective comparison between adult and pediatric patients. J Child Neurol 2016; DOI: 10.1177/0883073816671237.
  • 13 Trebst C, Raab P, Voss EV , et al. Longitudinal extensive transverse myelitis--it's not all neuromyelitis optica. Nat Rev Neurol 2011; 7 (12) 688-698
  • 14 Yetim E, Gocmen R, Topcuoglu MA, Arsava EM. Reversible white matter edema in dialysis disequilibrium syndrome. J Neuroradiol 2015; 42 (4) 247-249