A 55-year-old man with uncontrolled hypertension presents with sudden-onset headache, confusion, and blurred vision. Vital signs: BP 220/140 mmHg, HR 102 bpm, RR 18, Temp 37.2°C, SpO2 98% on room air. MRI demonstrates bilateral parietal and occipital white matter edema with vasogenic characteristics. Serum creatinine is elevated at 1.8 mg/dL. Notably, he denies focal neurologic deficits. He takes no antihypertensive medications. Which diagnosis best explains these findings?
- A)Cerebral venous sinus thrombosis
- B)Hypertensive intracerebral hemorrhage
- C)Posterior reversible encephalopathy syndromeGABARITO
- D)Acute ischemic stroke with vasogenic edema
- E)Hypoxic-ischemic encephalopathy
Explicação
PRES is characterized by acute hypertension, confusion, visual changes, and seizures with bilateral posterior white matter edema. It results from loss of cerebral autoregulation leading to vasogenic edema. The posterior predominance (parietal-occipital) is cla... Ver explicação completa e trilha adaptativa →