TY - JOUR
T1 - Albuminocytologic Dissociation in Posterior Reversible Encephalopathy Syndrome
AU - Datar, Sudhir
AU - Singh, Tarun D.
AU - Fugate, Jennifer E.
AU - Mandrekar, Jayawant
AU - Rabinstein, Alejandro
AU - Hocker, Sara
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Objectives To describe cerebrospinal fluid (CSF) findings in patients with posterior reversible encephalopathy syndrome (PRES) and to study its association with vasogenic edema. Patients and Methods Retrospective review of 73 consecutive prospectively collected adults diagnosed with PRES from January 1, 2000, through December 31, 2014, who underwent lumbar puncture. Results Seventy-three patients (mean age, 51±17 years), were included in the analysis; of these, 50 (69%) were women. The most common causes for PRES were hypertension (n=61 [84%]) and immunosuppression (n=22 [30%]). Renal failure was present in 42 (58%) patients. The median interval between clinical onset of PRES and CSF analysis was 1 day (interquartile range [IQR], 0-2 days). The median opening pressure was 23 cm H2O or 17 mm Hg (IQR, 18-28 cm H2O or 13-21 mm Hg), although it was available in only 27 patients. The median CSF protein level was 58 mg/dL (IQR, 44-81 mg/dL; normal value,
AB - Objectives To describe cerebrospinal fluid (CSF) findings in patients with posterior reversible encephalopathy syndrome (PRES) and to study its association with vasogenic edema. Patients and Methods Retrospective review of 73 consecutive prospectively collected adults diagnosed with PRES from January 1, 2000, through December 31, 2014, who underwent lumbar puncture. Results Seventy-three patients (mean age, 51±17 years), were included in the analysis; of these, 50 (69%) were women. The most common causes for PRES were hypertension (n=61 [84%]) and immunosuppression (n=22 [30%]). Renal failure was present in 42 (58%) patients. The median interval between clinical onset of PRES and CSF analysis was 1 day (interquartile range [IQR], 0-2 days). The median opening pressure was 23 cm H2O or 17 mm Hg (IQR, 18-28 cm H2O or 13-21 mm Hg), although it was available in only 27 patients. The median CSF protein level was 58 mg/dL (IQR, 44-81 mg/dL; normal value,
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U2 - 10.1016/j.mayocp.2015.07.018
DO - 10.1016/j.mayocp.2015.07.018
M3 - Article
C2 - 26349950
AN - SCOPUS:84955370753
SN - 0025-6196
VL - 90
SP - 1366
EP - 1371
JO - Mayo Clinic Proceedings
JF - Mayo Clinic Proceedings
IS - 10
ER -