Brain MRI-proven Posterior Reversible Encephalopathy Syndrome in Diaysis Patients with Initial Diagnosis of

초록

Sudden attack of seizure is very striking presentation in dialysis patients. The posterior reversible encephalopathy syndrome (PRES) is a recently proposed to be a clinically and radiologically defined syndrome characterized by seizures, headaches, visual disturbances. On magnetic resonance imaging (MRI) studies, vasogenic edema has been reported in a relatively symmetrical pattern, typically in the posterior area of the brain.High BP seems to be initial trigger factor. Lowering of BP and treatment of seizures was effective management in most cases. The MRI study has to be used early for appropriate intervention PRES because PRES is reversible without neurological sequele when treatment is instituted. The relationship between hypertensive encephalopathy and PRES needs to be confirmed by more serial studies.