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J Comput Assist Tomogr. 2007 Jan-Feb;31(1):148-56.

"Recurrent" posterior reversible encephalopathy syndrome: report of 3 cases--PRES can strike twice!

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Department of Medicine, UPMC Shadyside Hospital, PA, USA.


In a retrospective review, 3 (3.8%) of 78 patients developed recurrent posterior reversible encephalopathy syndrome. Underlying clinical conditions included sickle cell disease, antibody-positive autoimmune disease, and allogeneic bone marrow transplantation. Infection (bacterial/viral) was suspected or documented in both episodes in all 3 patients. Evidence of endothelial injury (schistocyte formation and increased lactate dehydrogenase) was documented in all patients, and multiple organ dysfunction syndrome developed during the hospital course of all admissions.

[Indexed for MEDLINE]

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