
An Unusual Case of Multifactorial
Posterior Reversible Encephalopathy
Syndrome (PRES)
1114-1116
Correspondence
Rashmi Teresa Mathai, MBBS
Dept of Medicine
Father Muller Medical College, Mangalore
Phone - +919663050783
E-mail: drrashmimathai@gmail.com
Posterior Reversible Encephalopathy Syndrome (PRES) is a clinico-neuroradiological entity which is characterized by headache, vomiting, altered mental status, blurred vision and seizures which can be detected by neuroimaging, demonstrating white-gray matter oedema and involving predominantly the posterior region of the brain.1 We report a case of a hypertensive woman who presented with sepsis and Multi-organ Dysfunction Syndrome (MODS), underwent haemodialysis for acute kidney injury and subsequently developed PRES. She responded well to the treatment, as was evidenced by a complete resolution of her clinical and radiological findings. Vasogenic oedema due to the dysfunction of cerebral blood vessel autoregulation points towards the endothelium as the key factor in the pathogenesis of PRES in MODS, thus making it a potential therapeutic target.