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In light of the already wide definition of PRES, we propose a new syndrome named PRES with spinal cord involvement (PRES-SCI). Clinicians should suspect PRES-SCI when patients with PRES have neurologic signs referable to the spinal cord, extreme elevation in blood pressure, MR lesions that extend to the cervicomedullary junction, or grade IV hypertensive retinopathy. These clinical scenarios should prompt a cervical spine MRI to help guide patient management decisions and prognostication. When clinicians evaluate longitudinally extensive spinal T2 hyperintensities, they should consider PRES-SCI, which, if diagnosed, would spare patients the morbidity of a standard myelitis workup and empiric treatment. |
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headache hypertension MRI,abnormal MRI,disappearing lesion on MRI,spinal cord myelitis,longitudinal posterior leukoencephalopathy syndrome prognosis retinopathy reversible neurologic disorder spinal cord spinal cord,cervical spinal cord,lesion of visual loss
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