http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2011/04/Cases/Accelerated-hypertension-with-features-of-reversible-posterior-encephalopathy-syndrome.aspx<p>A 44-year-old man presented to the emergency room with a 6-day history of confusion and blurred vision. His blood pressure was noted to be 250/150 mmHg, and fundoscopy showed bilateral papilloedema. His records showed a normal ophthalmic examination 3 months previously. Physical examination was otherwise unremarkable. Abbreviated Mini-mental Test (AMT) score was 6/10. Urine dipstick revealed 3+ of protein and 2+ of blood, and serum creatinine was mildly elevated at 136mEq/L, but other electrolytes and a complete blood count were normal. Renal ultrasound showed both kidneys to have echo-bright cortices, but they were of normal size and displayed normalinterlobar artery spectral Doppler waveforms. Chest x-ray and ECG were unremarkable. A head CT showed patchy ill-defined areas of low attenuation in the white matter of the posterior cerebral cortex. Magnetic resonance imaging (MRI) was performed the following day.The MRI pictures have been illustrated (Figures 1-3). </p>Monday, 28 Mar 2011 15:59:59 GMT