Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Masayuki Hata
Kobe City Medical Center General Hospital,
4-6 Minatojima-nakamachi, Chuo-ku, Kobe 650-0046
Japan
Case Report
A Case of Posterior Reversible Encephalopathy Syndrome Presenting with Isolated Diplopia
Author(s): Masayuki Hata, Akio Oishi, Yasuo Kurimoto, Shiro Yamamoto and Nobuo KoharaMasayuki Hata, Akio Oishi, Yasuo Kurimoto, Shiro Yamamoto and Nobuo Kohara
Background: Posterior Reversible Encephalopathy Syndrome (PRES) is a clinical entity characterized by a unique pattern of vasogenic brain edema mainly caused by eclampsia, immune suppressing drugs, or severe hypertension. The disease typically affects parieto-occipital lobe as the nomenclature indicates. Here we report a man with isolated concomitant strabismus, who was initially suspected as having glioma but was finally diagnosed with PRES. Methods: A 43-year-old man complained of horizontal double vision for a week. He had no other neurological symptom, including headache or confusion. He had a history of hypertension but had no medication. On examination, he showed 10 to 12 prism diopter of exotropia in all gaze directions without any restriction of eye movement. The sudden onset of the symptom and the history of hypertension ur.. View More»
DOI:
10.4172/2155-9570.1000155