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Case ReportCase Report

Serous Retinal Detachment in Hypertensive Posterior Reversible Encephalopathy Syndrome

C.G. Besirli, P. Sudhakar, J. Wesolowski and J.D. Trobe
American Journal of Neuroradiology December 2011, 32 (11) E203-E205; DOI: https://doi.org/10.3174/ajnr.A2435
C.G. Besirli
aFrom the Department of Ophthalmology and Visual Sciences (C.G.B., P.S., J.D.T.), W.K. Kellogg Eye Center
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P. Sudhakar
aFrom the Department of Ophthalmology and Visual Sciences (C.G.B., P.S., J.D.T.), W.K. Kellogg Eye Center
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J. Wesolowski
cDepartment of Radiology (Neuroradiology) (J.W.), University of Michigan, Ann Arbor, Michigan.
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J.D. Trobe
aFrom the Department of Ophthalmology and Visual Sciences (C.G.B., P.S., J.D.T.), W.K. Kellogg Eye Center
bDepartment of Neurology (J.D.T.)
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    Fig 1.

    Case 1. Peripapillary serous retinal detachments are evident in both eyes.

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    Fig 2.

    Case 1. Brain MR imaging performed at presentation. A, Axial FLAIR study shows high signal intensity within the parieto-occipital regions bilaterally in a distribution typical for PRES more on the left side (black arrow) than the right side (white arrow). B and C, Axial DWI study (B) shows high signal intensity, but an apparent diffusion coefficient study (C) does not show corresponding low signal intensity, findings indicative of vasogenic edema.

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    Fig 3.

    Case 2. Optic disc swelling, hard exudates, peripapillary flame-shaped hemorrhages, and peripapillary serous retinal detachment are evident in both eyes.

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    Fig 4.

    Case 2. Brain MR imaging performed at presentation. A, Axial FLAIR study shows high signal intensity within the occipital regions bilaterally (white arrows) in a distribution typical for PRES. B and C, Axial DWI (B) shows moderately high signal intensity in the occipital regions bilaterally (white arrows), but an apparent diffusion coefficient study (C) did not show corresponding low-signal-intensity findings indicative of vasogenic edema.

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American Journal of Neuroradiology: 32 (11)
American Journal of Neuroradiology
Vol. 32, Issue 11
1 Dec 2011
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Cite this article
C.G. Besirli, P. Sudhakar, J. Wesolowski, J.D. Trobe
Serous Retinal Detachment in Hypertensive Posterior Reversible Encephalopathy Syndrome
American Journal of Neuroradiology Dec 2011, 32 (11) E203-E205; DOI: 10.3174/ajnr.A2435

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Serous Retinal Detachment in Hypertensive Posterior Reversible Encephalopathy Syndrome
C.G. Besirli, P. Sudhakar, J. Wesolowski, J.D. Trobe
American Journal of Neuroradiology Dec 2011, 32 (11) E203-E205; DOI: 10.3174/ajnr.A2435
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