Pt # | Imaging Locations of PRES Vasogenic Edema | MRA | Imaging Modality | DWI | F/U Imaging | Clinical at Discharge | Edema Grade | MAP | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C | T | O | P | F | Misc | ||||||||
Group1 | |||||||||||||
1 | x | x | x | MR | n/o | Resolved | 3 | 86 | |||||
2 | Spasm-imp | MR | Neg | Res | 2 | 78 | |||||||
3 | x | x | x | x | MR | Neg | Resolving | Resolved | 5 | 87 | |||
4 | x | x | x | x | x | t | Pruning | MR | n/o | Resolved | 5 | 104 | |
5 | x | x | x | x | CT | Res | 3 | 98 | |||||
6 | x | CT | Expired | 2 | 106 | ||||||||
7 | Pruning | MR | Neg | Resolving | Resolved | 2 | 101 | ||||||
8 | x | x | x | x | CT | Res | 5 | 104 | |||||
9 | x | x | x | x | Normal | MR | Neg | Res | 2 | 93 | |||
10 | x | x | x | MR | Neg* | Resolving | Resolved | 4 | 85 | ||||
Group 2 | |||||||||||||
11 | x | x | x | x | t mb | Spasm/prun | MR | Neg | Normal | 2 | 138 | ||
12 | x | x | x | x | MR | Neg | Res | 3 | 140 | ||||
13 | x | x | x | x | x | bs mb c | MR | Neg | Res | 1 | 133 | ||
14 | x | x | x | x | x | bs | MR | Neg | Res | 3 | 135 | ||
15 | x | x | x | x | CT | Resolved | 1 | 126 | |||||
16 | x | x | x | CT | Expired | 2 | 123 | ||||||
17 | x | x | x | t | Spasm | MR | Neg | Resolving | Resolved | 2 | 148 | ||
18 | x | x | x | x | Spasm | MR | Neg | Resolving | Resolved | 3 | 129 | ||
19 | x | x | x | Spasm-rev | MR | Neg | Res | 1 | 133 | ||||
20 | x | x | x | x | bs | MR | Neg | Resolving | Resolved | 2 | 141 | ||
21 | x | x | MR | Neg | — | Resolved | 1 | 157 | |||||
22 | x | x | x | x | Spasm | MR | Neg | Res | 4 | 130 | |||
23 | x | x | x | x | MR | Neg | Res | 1 | 143 | ||||
24 | x | x | x | x | Spasm-rev | MR | Neg* | Res* | 3 | 143 | |||
25 | x | x | x | x | MR | n/o | Res | 2 | 140 |
Note:—PRES indicates posterior reversible encephalopathy syndrome; C, cerebellum; T, temporal lobe/inferior temporal-occipital junction; O, occipital lobe; P, parietal region; F, frontal lobes; bs, brain stem including medulla and pons; mb, midbrain; t, thalamus; c, caudate nucleus; rev, spasm reverses; imp, spasm improves; spasm/prun, middle crebral artery spasm with posterior cerebral artery pruning; DWI, diffusion-weighted image characteristics; n/o, DWI not obtained with MR imaging study; Neg, no evidence of restricted diffusion to suggest cytotoxic edema; Neg*, no restricted diffusion in the majority of vasogennic edema with focal region of restricted diffusion and hemorrhage noted; Res, vasogenic edema completely resolved on follow-up imaging studies; Res*, vasogenic edema resolved with minor persistent abnormal signal in region of previously noted restricted diffusion, infarction, or focal hemorrhage; Resolving, resolving vasogenic edema on follow-up imaging studies or resolving clinical symptoms related to PRES; Resolved, clinical symptoms at PRES neurotoxicity resolved; MAP, mean arterial pressure.