Queston #6701Note

The images provided are axial MRI FLAIR sequences showing fairly symmetric subcortical/cortical vasogenic edema seen predominantly in the occipital lobes. This is typically seen in patients with posterior reversible encephalopathy syndrome (PRES). There is a list of things that can provoke PRES: hypertensive emergency, chemotherapeutic agents, uremia, and eclampsia. In cases where there is a clear provoking agent, removal of this agent can lead to rapid clinical improvement. In the case of eclampsia, this entails childbirth. Anti-hypertensive agents should also be utilized. Corticosteroids and immunomodulatory therapies do not have a place in the management of PRES.