The online version of this article (doi:10.1186/1752-1947-8-261) contains supplementary material, which is available to authorized users.
The authors have no competing interests to declare.
JBD and MG carried out the examination and monitored the patient. MG was a major contributor in writing the manuscript. J-L Sautreaux perform translation. All authors read and approved the final manuscript.
Posterior reversible encephalopathy syndrome is a rare entity. Its pathophysiology is still poorly understood.
We report the case of a 69-year-old White European woman who presented complete and proportional right hemiplegia, confusion, deviation of her head and eyes to the right, cortical blindness, and generalized tonic-clonic seizure 12 hours following a depletive lumbar puncture. Emergency cerebral magnetic resonance imaging showed bioccipital and left-side basal ganglia hyperintensities in the fluid attenuated inversion recovery and the diffusion-weighted images suggesting a radiological diagnosis of posterior reversible encephalopathy syndrome.
The diagnosis is established on clinical and radiological signs. This is the first report of this kind in the literature. We present a case of posterior reversible encephalopathy syndrome after depletive lumbar puncture and we discuss the pathophysiology.
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- Posterior reversible encephalopathy syndrome after depletive lumbar puncture: a case report
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