PRES IN EARLY POSTOPERATIVE PERIOD IN NEUROSURGICAL PATIENTS
Keywords:
posterior reversible encephalopathy syndrome, PRES, vasogenic edema, posterior cranial fossa tumor, vestibular schwannoma, ependymoma, pilocytic astrocytoma, medulloblastoma, primary tumor of the central nervous systemAbstract
The article presents a literature review on described cases of PRES (posterior reversible encephalopathy syndrome) in patients with primary tumor of the central nervous system after neurosurgical operations. PRES diagnostic criteria is a constellation of neurologic symptoms — seizures, headaches, altered mental status, visual changes etc. and characteristic brain magnetic resonance imaging findings, that are typical for vasogenic cerebral edema (T2, FLAR). Neurological symptoms and neuroimaging patterns are usually reversible. In number of cases hypertension is a provoking factor of PRES, however, some patients with this syndrome could have normal blood pressure readings. PRES is rare in patients with primary brain tumor; however these cases are described in literature. Among neurosurgical patients this syndrome is more typical for children after surgical resection of posterior cranial fossa tumor. From our point of view, neurologists and neurosurgeons should be aware of postoperative complications as treatment of such patients depends on timely diagnosis.
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