Posterior Reversible Encephalopathy Syndrome

Abstract

Background: The presentation of posterior reversible encephalopathy syndrome (PRES) features neuropsychiatric symptoms in the context of predominantly white matter cerebral edema in the setting of a diverse variety of underlying clinical entities. Objective: To illustrate the presentation and diagnostic strategy for this under-recognized condition. Method: We present two cases of PRES and review the available literature. Results: PRES may be due to a number of underlying conditions, but typically presents with symptoms consistent with delirium. Conclusions: Psychiatrist practicing in the general hospital should be aware of the presentation and appropriate work-up of PRES to forestall serious potential sequelae

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