Posterior Reversible Encephalopathy Syndrome Presenting as Stroke Mimic

Clinical Practice and Cases in Emergency Medicine
Daniel FrickHugh Shoff

Abstract

We present the case of a 33-year-old male with end stage renal disease presenting to the emergency department (ED) with headache, dizziness, and unilateral weakness. Initial concern was for ischemic or hemorrhagic stroke. Magnetic resonance imaging confirmed posterior reversible encephalopathy syndrome (PRES). The patient was treated appropriately and made a full neurologic recovery. PRES is an under-recognized diagnosis in the ED. As a stroke mimic, PRES can lead the clinician on an incorrect diagnostic pathway with potential for iatrogenic harm.

Citations

Feb 26, 2021·Current Pain and Headache Reports·Alexandra N GewirtzMatthew S Robbins

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