J Neurocrit Care.  2023 Jun;16(1):51-52. 10.18700/jnc.220084.

Posterior reversible encephalopathy syndrome superimposed on neuronal intranuclear inclusion disease

Affiliations
  • 1Department of Neurology, Hanyang University College of Medicine, Seoul, Korea


Figure

  • Fig. 1. Brain magnetic resonance imaging scans performed 12 hours after the seizure (A-D) and after 3 weeks of treatment (E, F). (A, B) Fluid-attenuated inversion recovery (FLAIR) revealed high signal intensity lesion at the bilateral parietooccipital lobe, right temporal lobe, and cerebellum. (E, F) The follow-up image showed less prominent high FLAIR signal intensity at the cerebellum and parietooccipital lobes. (C, D) Diffusion-weighted imaging (DWI) showed bilateral symmetric diffusion restriction lesions in the corticomedullary junction, at the frontal, parietal, and temporal lobes. (G, H) The follow-up DWI showed slightly worsened diffusion restriction at the bilateral frontotemporal lobes.


Reference

1. Triplett JD, Kutlubaev MA, Kermode AG, Hardy T. Posterior reversible encephalopathy syndrome (PRES): diagnosis and management. Pract Neurol. 2022; 22:183–9.
2. Fugate JE, Rabinstein AA. Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions. Lancet Neurol. 2015; 14:914–25.
3. Sone J, Mori K, Inagaki T, Katsumata R, Takagi S, Yokoi S, et al. Clinicopathological features of adult-onset neuronal intranuclear inclusion disease. Brain. 2016; 139(Pt 12):3170–86.
4. Chi X, Li M, Huang T, Tong K, Xing H, Chen J. Neuronal intranuclear inclusion disease with mental abnormality: a case report. BMC Neurol. 2020; 20:356.
Full Text Links
  • JNC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr