Presentation
Headaches in a patient with severe hypertension.
Patient Data
Age: 55 years
Gender: Male
From the case:
Posterior reversible encephalopathy syndrome
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Bilateral FLAIR and T2 high signal lesions within the cortex and subcortical region of the right occipital lobes, left parietal and temporal lobes as well as the right frontal lobe with no hemorrhagic component seen on T2* sequence or enhancement on postcontrast sequence. Normal DWI with increased signal on ADC.
Moderate cerebral volume loss with small vessel ischemic change.
Normal 3D TOF MRA.
Empty sella.
Case Discussion
The clinical presentation and the MRI features are most consistent with posterior reversible encephalopathy syndrome
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