David A. Lizarazo MD , Angela Guarnizo MD , Jairo Lizarazo MD
{"title":"Rare central-variant of posterior reversible encephalopathy syndrome: Pons and middle cerebellar peduncles involvement","authors":"David A. Lizarazo MD , Angela Guarnizo MD , Jairo Lizarazo MD","doi":"10.1016/j.radcr.2025.08.060","DOIUrl":null,"url":null,"abstract":"<div><div>Central variant of posterior reversible encephalopathy syndrome is an atypical clinical-radiological condition. We report an unusual case of a 37-year old woman with history of chronic renal insufficiency and hypertension. The patient presented with headache, dysarthria, dizziness and balance disturbance. Imaging findings include vasogenic edema of the pons and the middle cerebellar peduncles without supratentorial involvement. After treatment with antihypertensives and dialysis, her blood pressure and physical exam returned to normal and neurological symptoms resolved. Follow-up imaging showed improvement. It is import to identify this entity to enact appropriate treatment.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 12","pages":"Pages 5946-5948"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1930043325007940","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Central variant of posterior reversible encephalopathy syndrome is an atypical clinical-radiological condition. We report an unusual case of a 37-year old woman with history of chronic renal insufficiency and hypertension. The patient presented with headache, dysarthria, dizziness and balance disturbance. Imaging findings include vasogenic edema of the pons and the middle cerebellar peduncles without supratentorial involvement. After treatment with antihypertensives and dialysis, her blood pressure and physical exam returned to normal and neurological symptoms resolved. Follow-up imaging showed improvement. It is import to identify this entity to enact appropriate treatment.
期刊介绍:
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.