PRES

Question 1

Pres stands for

Answer 1

Posterior Reversible Encephalopathy Syndrome

Question 2

What is the imaging modality of choice to diagnose PRES?

Answer 2

MRI of the brain without intravenous (IV) contrast.

Shows vasogenic edema in the posterior brain

Question 3

BP goal for PRES management

Answer 3

SBP 130 to 150 mmHg

DBP 80 to 100 mmHg

Question 4

What clinical findings are suggestive of intracranial hemorrhage?

Answer 4

Common presenting symptoms include headache, nausea, vomiting, confusion, somnolence, or seizure

Question 5

When do you recommend brain imaging?

Answer 5

Worse headaches, AMS, focal neurologic deficits, unexplained seizures

Question 6

When do you recommend head CT vs MRI?

Answer 6

Concern for intracranial hemorrhage

Question 7

What is reversible cerebral vasoconstriction syndrome?

Answer 7

Reversible multifocal narrowing of the arteries of the brain
Symptoms = thunderclap headache and neuro deficits