Posterior reversible encephalopathy syndrome (PRES): a rare condition after resection of posterior fossa tumors: two new cases and review of the literature
Introduction In 1996, Hinchey and colleagues coined the term “Posterior reversible encephalopathy syndrome” (PRES) to describe a condition seen in patients with acute neurological symptoms and reversible subcortical vasogenic edema predominantly involving parieto-occipital areas demonstrated in brai...
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| Veröffentlicht in: | Child's nervous system 2016-05, Vol.32 (5), p.857-863 |
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| creator | Quarante, Lain Hermes González Mena-Bernal, José Hinojosa Martín, Beatriz Pascual Carrasco, Marta Ramírez Casado, María Jesús Muñoz de Aragón, Ana Martínez de las Heras, Rogelio Simón |
| description | Introduction
In 1996, Hinchey and colleagues coined the term “Posterior reversible encephalopathy syndrome” (PRES) to describe a condition seen in patients with acute neurological symptoms and reversible subcortical vasogenic edema predominantly involving parieto-occipital areas demonstrated in brain MRI. The occurrence of this phenomenon after surgical resection of CNS tumors is typically linked to pediatric cases.
Material and Methods
Two new cases of PRES after posterior fossa surgery are reported. A thorough review of the literature is carried out with the purpose of updating and summarizing the main features regarding PRES in similar cases. Seven cases ofPRES after resection of a posterior fossa tumor have been hitherto reported (4 patients were |
| doi_str_mv | 10.1007/s00381-015-2954-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1782834196</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1782834196</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-adaba4cb14b8c8cee70d6e2e300bea18b28d3f49c33d874a771cc679efedf2dc3</originalsourceid><addsrcrecordid>eNp9kc1O3DAYRa2qqEwpD8AGeUkXaf2bOOwqBG0lpCJ-1pZjf2GCEjvYTtE8Cy-Lp0NZsrJsn3uszxehI0q-UUKa74kQrmhFqKxYK0UlP6AVFZxXhEvyEa0Ik3XVEEH20eeUHkgBFWs_oX1WSyWkZCv0fBVShjiEiCP8hZiGbgQM3sK8NmOYTV5vcNp4F8ME-OTq-vzm6yk2OJoI2AbvhjwEj01fJMWQwP7bhx7Pb-I-pGRwXqYQ0ynOTwF7eMLWJEjYeLd9eCgHJZPXgMehxExeInxBe70ZExy-rgfo7uL89uxXdfnn5--zH5eV5ULkyjjTGWE7KjpllQVoiKuBASekA0NVx5TjvWgt5041wjQNtbZuWujB9cxZfoBOdt45hscFUtbTkCyMo_EQlqRpo5jigrZ1QekOtbEMFaHXcxwmEzeaEr3tRO860eWr9bYTLUvm-FW_dBO4t8T_EgrAdkAqV_4eon4IS_Rl5HesL6Ssm7g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1782834196</pqid></control><display><type>article</type><title>Posterior reversible encephalopathy syndrome (PRES): a rare condition after resection of posterior fossa tumors: two new cases and review of the literature</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Quarante, Lain Hermes González ; Mena-Bernal, José Hinojosa ; Martín, Beatriz Pascual ; Carrasco, Marta Ramírez ; Casado, María Jesús Muñoz ; de Aragón, Ana Martínez ; de las Heras, Rogelio Simón</creator><creatorcontrib>Quarante, Lain Hermes González ; Mena-Bernal, José Hinojosa ; Martín, Beatriz Pascual ; Carrasco, Marta Ramírez ; Casado, María Jesús Muñoz ; de Aragón, Ana Martínez ; de las Heras, Rogelio Simón</creatorcontrib><description>Introduction
In 1996, Hinchey and colleagues coined the term “Posterior reversible encephalopathy syndrome” (PRES) to describe a condition seen in patients with acute neurological symptoms and reversible subcortical vasogenic edema predominantly involving parieto-occipital areas demonstrated in brain MRI. The occurrence of this phenomenon after surgical resection of CNS tumors is typically linked to pediatric cases.
Material and Methods
Two new cases of PRES after posterior fossa surgery are reported. A thorough review of the literature is carried out with the purpose of updating and summarizing the main features regarding PRES in similar cases. Seven cases ofPRES after resection of a posterior fossa tumor have been hitherto reported (4 patients were <20 years old). Thereis another pediatric case described after a ventriculoperitoneal shunting procedure in a patient with fourth ventricleependymoma. Two resected tumors were ependymomas, 2 hemangiopericytomas in one patient, 1 pilocyticastrocytoma, 1 vestibular schwannoma, and 1 of the reported cases did not describe the final pathology diagnosis.
Case Reports
We present 2 new cases of PRES after surgical resection of a posterior fossa tumor (medulloblastoma in case 1and ependymoma in case 2) in pediatric patients. Case 1 developed delayed seizures and altered mental status(10 days after surgical resection) after receiving treatment with bromocriptine for cerebellar mutism. Case 2presented with generalized seizures and altered mental status within the first 48 postoperative hours followed byright hemiparesis. Both patients fully recovered and returned to neurological baseline status. A thorough review ofthe literature was carried out with the purpose of updating and summarizing the main features regarding PRES insimilar cases.
Conclusions
We report 2 new pediatric cases of posterior reversible encephalopathy syndrome (PRES) that developed after surgical resection of a posterior fossa tumor. Appropriate management includes supportive measures, antihypertensive agents, and antiepileptic drugs, if needed. Full recovery is the most likely outcome in line with previous articles.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-015-2954-5</identifier><identifier>PMID: 26584552</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Case Report ; Child, Preschool ; Humans ; Infratentorial Neoplasms - diagnostic imaging ; Infratentorial Neoplasms - surgery ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Medulloblastoma - diagnostic imaging ; Medulloblastoma - surgery ; Neurosciences ; Neurosurgery ; Neurosurgical Procedures - adverse effects ; Posterior Leukoencephalopathy Syndrome - diagnostic imaging ; Posterior Leukoencephalopathy Syndrome - etiology ; Treatment Outcome</subject><ispartof>Child's nervous system, 2016-05, Vol.32 (5), p.857-863</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-adaba4cb14b8c8cee70d6e2e300bea18b28d3f49c33d874a771cc679efedf2dc3</citedby><cites>FETCH-LOGICAL-c344t-adaba4cb14b8c8cee70d6e2e300bea18b28d3f49c33d874a771cc679efedf2dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-015-2954-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-015-2954-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26584552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Quarante, Lain Hermes González</creatorcontrib><creatorcontrib>Mena-Bernal, José Hinojosa</creatorcontrib><creatorcontrib>Martín, Beatriz Pascual</creatorcontrib><creatorcontrib>Carrasco, Marta Ramírez</creatorcontrib><creatorcontrib>Casado, María Jesús Muñoz</creatorcontrib><creatorcontrib>de Aragón, Ana Martínez</creatorcontrib><creatorcontrib>de las Heras, Rogelio Simón</creatorcontrib><title>Posterior reversible encephalopathy syndrome (PRES): a rare condition after resection of posterior fossa tumors: two new cases and review of the literature</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Introduction
In 1996, Hinchey and colleagues coined the term “Posterior reversible encephalopathy syndrome” (PRES) to describe a condition seen in patients with acute neurological symptoms and reversible subcortical vasogenic edema predominantly involving parieto-occipital areas demonstrated in brain MRI. The occurrence of this phenomenon after surgical resection of CNS tumors is typically linked to pediatric cases.
Material and Methods
Two new cases of PRES after posterior fossa surgery are reported. A thorough review of the literature is carried out with the purpose of updating and summarizing the main features regarding PRES in similar cases. Seven cases ofPRES after resection of a posterior fossa tumor have been hitherto reported (4 patients were <20 years old). Thereis another pediatric case described after a ventriculoperitoneal shunting procedure in a patient with fourth ventricleependymoma. Two resected tumors were ependymomas, 2 hemangiopericytomas in one patient, 1 pilocyticastrocytoma, 1 vestibular schwannoma, and 1 of the reported cases did not describe the final pathology diagnosis.
Case Reports
We present 2 new cases of PRES after surgical resection of a posterior fossa tumor (medulloblastoma in case 1and ependymoma in case 2) in pediatric patients. Case 1 developed delayed seizures and altered mental status(10 days after surgical resection) after receiving treatment with bromocriptine for cerebellar mutism. Case 2presented with generalized seizures and altered mental status within the first 48 postoperative hours followed byright hemiparesis. Both patients fully recovered and returned to neurological baseline status. A thorough review ofthe literature was carried out with the purpose of updating and summarizing the main features regarding PRES insimilar cases.
Conclusions
We report 2 new pediatric cases of posterior reversible encephalopathy syndrome (PRES) that developed after surgical resection of a posterior fossa tumor. Appropriate management includes supportive measures, antihypertensive agents, and antiepileptic drugs, if needed. Full recovery is the most likely outcome in line with previous articles.</description><subject>Adolescent</subject><subject>Case Report</subject><subject>Child, Preschool</subject><subject>Humans</subject><subject>Infratentorial Neoplasms - diagnostic imaging</subject><subject>Infratentorial Neoplasms - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medulloblastoma - diagnostic imaging</subject><subject>Medulloblastoma - surgery</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Posterior Leukoencephalopathy Syndrome - diagnostic imaging</subject><subject>Posterior Leukoencephalopathy Syndrome - etiology</subject><subject>Treatment Outcome</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1O3DAYRa2qqEwpD8AGeUkXaf2bOOwqBG0lpCJ-1pZjf2GCEjvYTtE8Cy-Lp0NZsrJsn3uszxehI0q-UUKa74kQrmhFqKxYK0UlP6AVFZxXhEvyEa0Ik3XVEEH20eeUHkgBFWs_oX1WSyWkZCv0fBVShjiEiCP8hZiGbgQM3sK8NmOYTV5vcNp4F8ME-OTq-vzm6yk2OJoI2AbvhjwEj01fJMWQwP7bhx7Pb-I-pGRwXqYQ0ynOTwF7eMLWJEjYeLd9eCgHJZPXgMehxExeInxBe70ZExy-rgfo7uL89uxXdfnn5--zH5eV5ULkyjjTGWE7KjpllQVoiKuBASekA0NVx5TjvWgt5041wjQNtbZuWujB9cxZfoBOdt45hscFUtbTkCyMo_EQlqRpo5jigrZ1QekOtbEMFaHXcxwmEzeaEr3tRO860eWr9bYTLUvm-FW_dBO4t8T_EgrAdkAqV_4eon4IS_Rl5HesL6Ssm7g</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Quarante, Lain Hermes González</creator><creator>Mena-Bernal, José Hinojosa</creator><creator>Martín, Beatriz Pascual</creator><creator>Carrasco, Marta Ramírez</creator><creator>Casado, María Jesús Muñoz</creator><creator>de Aragón, Ana Martínez</creator><creator>de las Heras, Rogelio Simón</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Posterior reversible encephalopathy syndrome (PRES): a rare condition after resection of posterior fossa tumors: two new cases and review of the literature</title><author>Quarante, Lain Hermes González ; Mena-Bernal, José Hinojosa ; Martín, Beatriz Pascual ; Carrasco, Marta Ramírez ; Casado, María Jesús Muñoz ; de Aragón, Ana Martínez ; de las Heras, Rogelio Simón</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-adaba4cb14b8c8cee70d6e2e300bea18b28d3f49c33d874a771cc679efedf2dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Case Report</topic><topic>Child, Preschool</topic><topic>Humans</topic><topic>Infratentorial Neoplasms - diagnostic imaging</topic><topic>Infratentorial Neoplasms - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medulloblastoma - diagnostic imaging</topic><topic>Medulloblastoma - surgery</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Posterior Leukoencephalopathy Syndrome - diagnostic imaging</topic><topic>Posterior Leukoencephalopathy Syndrome - etiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Quarante, Lain Hermes González</creatorcontrib><creatorcontrib>Mena-Bernal, José Hinojosa</creatorcontrib><creatorcontrib>Martín, Beatriz Pascual</creatorcontrib><creatorcontrib>Carrasco, Marta Ramírez</creatorcontrib><creatorcontrib>Casado, María Jesús Muñoz</creatorcontrib><creatorcontrib>de Aragón, Ana Martínez</creatorcontrib><creatorcontrib>de las Heras, Rogelio Simón</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Quarante, Lain Hermes González</au><au>Mena-Bernal, José Hinojosa</au><au>Martín, Beatriz Pascual</au><au>Carrasco, Marta Ramírez</au><au>Casado, María Jesús Muñoz</au><au>de Aragón, Ana Martínez</au><au>de las Heras, Rogelio Simón</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior reversible encephalopathy syndrome (PRES): a rare condition after resection of posterior fossa tumors: two new cases and review of the literature</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>32</volume><issue>5</issue><spage>857</spage><epage>863</epage><pages>857-863</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Introduction
In 1996, Hinchey and colleagues coined the term “Posterior reversible encephalopathy syndrome” (PRES) to describe a condition seen in patients with acute neurological symptoms and reversible subcortical vasogenic edema predominantly involving parieto-occipital areas demonstrated in brain MRI. The occurrence of this phenomenon after surgical resection of CNS tumors is typically linked to pediatric cases.
Material and Methods
Two new cases of PRES after posterior fossa surgery are reported. A thorough review of the literature is carried out with the purpose of updating and summarizing the main features regarding PRES in similar cases. Seven cases ofPRES after resection of a posterior fossa tumor have been hitherto reported (4 patients were <20 years old). Thereis another pediatric case described after a ventriculoperitoneal shunting procedure in a patient with fourth ventricleependymoma. Two resected tumors were ependymomas, 2 hemangiopericytomas in one patient, 1 pilocyticastrocytoma, 1 vestibular schwannoma, and 1 of the reported cases did not describe the final pathology diagnosis.
Case Reports
We present 2 new cases of PRES after surgical resection of a posterior fossa tumor (medulloblastoma in case 1and ependymoma in case 2) in pediatric patients. Case 1 developed delayed seizures and altered mental status(10 days after surgical resection) after receiving treatment with bromocriptine for cerebellar mutism. Case 2presented with generalized seizures and altered mental status within the first 48 postoperative hours followed byright hemiparesis. Both patients fully recovered and returned to neurological baseline status. A thorough review ofthe literature was carried out with the purpose of updating and summarizing the main features regarding PRES insimilar cases.
Conclusions
We report 2 new pediatric cases of posterior reversible encephalopathy syndrome (PRES) that developed after surgical resection of a posterior fossa tumor. Appropriate management includes supportive measures, antihypertensive agents, and antiepileptic drugs, if needed. Full recovery is the most likely outcome in line with previous articles.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26584552</pmid><doi>10.1007/s00381-015-2954-5</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Case Report Child, Preschool Humans Infratentorial Neoplasms - diagnostic imaging Infratentorial Neoplasms - surgery Magnetic Resonance Imaging Male Medicine Medicine & Public Health Medulloblastoma - diagnostic imaging Medulloblastoma - surgery Neurosciences Neurosurgery Neurosurgical Procedures - adverse effects Posterior Leukoencephalopathy Syndrome - diagnostic imaging Posterior Leukoencephalopathy Syndrome - etiology Treatment Outcome |
| title | Posterior reversible encephalopathy syndrome (PRES): a rare condition after resection of posterior fossa tumors: two new cases and review of the literature |
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