J Korean Soc Magn Reson Med.  2013 Jun;17(2):144-148. 10.13104/jksmrm.2013.17.2.144.

Irreversible Hemorrhagic Complication of Recurrent Posterior Reversible Encephalopathy Syndrome in a Patient with Systemic Lupus Erythematosus

• Kim HK
• Lee HJ
• Shin KM

• KMID: 2099873
• DOI: http://doi.org/10.13104/jksmrm.2013.17.2.144

Abstract

Although most cases of posterior reversible encephalopathy syndrome (PRES) are reversible, irreversible lesions as a form of hemorrhage or infarction have been described. PRES as a complication of systemic lupus erythematosus (PRES-SLE) is associated with hypertension or use of immunosuppressive agents. We present a case of recurrent atypical PRES-SLE, which showed restricted diffusion in the first manifestation of SLE, resulted in parenchymal hemorrhagic transformations in the recurrent episode.

Keyword

Posterior reversible encephalopathy syndrome; Hemorrhage; SLE; MRI

MeSH Terms

Diffusion
Hemorrhage
Humans
Hypertension
Immunosuppressive Agents
Infarction
Lupus Erythematosus, Systemic
Immunosuppressive Agents

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