PMC7875083_01
Respiratory rate, oxygen saturation, and blood pressure variability (block arrow) throughout the hospital stay (SBP 180-140 mmHg, DBP 60-100 mmHg).
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F1
His blood pressure variability is shown in Figure 1 below.
C.T. scan with bilateral posterior parietal and occipital hypo intensities suggestive of PRES.
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F2
A CT scan of his brain on admission showed bilateral hypointensities around his posterior parietal-occipital regions (see Figure 2).
MRI axial FLAIR image demonstrating hyperintensities in periventricular regions in both parietal, occipital and frontal regions secondary to PRES.
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F3
T2 FLAIR (fluid attenuation and inversion recovery) hyperintensities compatible with PRES given the recovering symptoms compared to VANDAL with severe illness. There were diffuse petechial hemorrhages shown on SWI (susceptibility-weighted images) throughout the basal ganglia and deep white matter indicative of cerebral microbleeds (Figures 3 and 4).
SWI image showing cerebral microbleeds in the basal ganglia region.
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F4
T2 FLAIR (fluid attenuation and inversion recovery) hyperintensities compatible with PRES given the recovering symptoms compared to VANDAL with severe illness. There were diffuse petechial hemorrhages shown on SWI (susceptibility-weighted images) throughout the basal ganglia and deep white matter indicative of cerebral microbleeds (Figures 3 and 4).