"Highlighting" red nuclei by atypical posterior reversible encephalopathy syndrome in a patient with systemic lupus erythematosus

Tetyana Vaysman; Prissilla Xu; Tara Vartanian; Peter Michalak; Kesley Pike; Antonio Liu

doi:10.1002/ccr3.2245

"Highlighting" red nuclei by atypical posterior reversible encephalopathy syndrome in a patient with systemic lupus erythematosus

Clin Case Rep. 2019 Jun 13;7(7):1404-1408. doi: 10.1002/ccr3.2245. eCollection 2019 Jul.

Authors

Tetyana Vaysman¹, Prissilla Xu², Tara Vartanian³, Peter Michalak⁴, Kesley Pike⁵, Antonio Liu³

Affiliations

¹ Department of Internal Medicine University of Maryland Cheverly Maryland.
² Department of Pharmacy Adventist Health White Memorial Los Angeles California.
³ Department of Neurology Adventist Health White Memorial Los Angeles California.
⁴ Marquette Family Residency Program Marquette Michigan.
⁵ Ross University School of Medicine North Brunswick New Jersey.

Abstract

This is a case report in which a patient with SLE had a brainstem variant of PRES, and MRI demonstrated atypical distribution of FLAIR hyperintensity in the thalami and the midbrain sparing the red nuclei bilaterally (Figure 1). This impressive lesion pattern may reveal the disease mechanisms of PRES in patients with SLE.

Keywords: PRES; red nuclei; systemic lupus erythematosus.

Publication types

Case Reports