Related Subjects:
|Hypertension
|Hypertension in Pregnancy
|Malignant Hypertension
|PreEclampsia, Eclapsmia and HELLP
In most cases, PRES resolves spontaneously and patients show both clinical and radiological improvements. Severe cases can be fatal.
A trigger is usually identifiable, most commonly, acute hypertension (AKI or eclampsia or illicit drugs) or the other group are due to Sepsis and multi-organ failure and Autoimmune diseaseIntroduction
Aetiology
Imaging
Clinical
Investigations
Causes or Triggers of PRES
Preeclampsia/eclampsia No difference in out come than with non pregnant PRES. Give IV Magnesium, Caesarean section Renal failure Manage as usual Severe Hypertension Keep BP below 160 mmHg and avoid nitroglycerin Ciclosporin/Tacrolimus and others Within 2 weeks of drug starting. management is to withdraw therapy Post Transplantation Within first month post transplantation Autoimmune SLE, WG, SS, PAN Infection Treat Sepsis syndrome. Abnormal LFTs, Renal function, Multiorgan failure. Neuromyelitis optica suggests a defect in free water movement [Magana SM et al. 2009] Differentials
Management
Reviews and references
MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd |
Posterior Reversible Encephalopathy Syndrome (PRES
-
| About | Anaesthetics and Critical Care | Anatomy | Basic Science | Biochemistry | Cardiology | Cases | Clinical Cases | Crib | Dentistry | Dermatology | Differentials | Drugs | ENT | Electrocardiogram | Embryology | Emergency Medicine | Endocrinology | Ethics | Foundation Doctors | Gastroenterology | General Information | General Practice | Genetics | Geriatric Medicine | Guidelines | Haematology | Hepatology | Immunology | Infectious Disease | Infectious Diseases | Infographic | Investigations | Lists | Microbiology | Miscellaneous | Nephrology | Neuroanatomy | Neurology | Nutrition | OSCE | Obstetrics Gynaecology | Oncology | Ophthalmology | Oral Medicine | Paediatrics | Palliative | Pathology | Pharmacology | Physiology | Procedures | Psychiatry | Radiology | Research | Respiratory | Resuscitation | Rheumatology | Statistics | Stroke | Surgery | Surgical | Toxicology | Trauma and Orthopaedics | Twitter | Urology | Version Jan 2023