Author/Authors :
Poursadeghfard، Maryam نويسنده MD, Assistant Professor of Neurology, Department of Neurology, Medical School , , Raeyat، Mohammedreza نويسنده Department of Neurology, School of Medicine, Shiraz University of Medical Sci-ence, Shiraz, IR Iran , , Karamimagham، Sina نويسنده MD, Fellowship of Neonatology, Department of Pediatric, Medical School ,
Abstract :
Posterior reversible encephalopathy syndrome (PRES) is a reversible clinico-radiological condition with different etiologies. The typical findings are symmetric involvement of the parieto-occipital and posterior frontal cortex with sub-cortical white matter. But brain stem, basal ganglia and cerebellum can be involved as well. It sometimes progresses to atypical appearances including hemorrhage, contrast en-hancement or diffusion weighted restriction.
In this report, we introduce a young man who developed PRES after substance abuse with both typical and atypical features in the supra- and infra- tentorium areas and deep zones of the brain in magnetic resonance imaging. Involvement of all these areas of the brain together (supra- and infra- tentorium and deep parts) is uncommon in re-ports.