{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:02Z","timestamp":1787755382076,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 71-year-old woman with a 2-year history of spondylosis and radiculopathy presented with progressively worsening cervical spine pain and neurological dysfunction for 2 years. The patient developed posterior reversible encephalopathy syndrome (PRES) after postoperative hematoma in the retroesophageal and retropharyngeal areas. This occurred status post anterior cervical diskectomy and fusion (ACDF) of C4-C6. One year postoperatively, the patient recovered with full ambulation, neurological improvement, and resolution of all PRES signs and symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We present a case of a previously undescribed outcome of PRES as a complication of ACDF likely related to postoperative hypertension and fragile blood vessels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00700","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T14:46:23Z","timestamp":1656427583000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Posterior Reversible Encephalopathy Syndrome with Postoperative Hematoma After C4-C6 Spinal Fusion: A Case Report"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0302-4812","authenticated-orcid":false,"given":"Matt","family":"Porter","sequence":"first","affiliation":[{"name":"Washington State University, Elson S. Floyd College of Medicine, Spokane, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7350-2605","authenticated-orcid":false,"given":"Miguel A.","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Washington State University, Elson S. Floyd College of Medicine, Spokane, Washington"},{"name":"Alpine Orthopaedic and Spine, P.C., Spokane, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,4]]},"reference":[{"issue":"8","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1056\/NEJM199602223340803","article-title":"A reversible posterior leukoencephalopathy syndrome","volume":"334","author":"Hinchey","year":"1996","journal-title":"N Engl J Med."},{"issue":"8","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1007\/s00415-016-8377-8","article-title":"Posterior reversible encephalopathy syndrome","volume":"264","author":"Fischer","year":"2017","journal-title":"J Neurol."},{"issue":"22","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1212\/WNL.0000000000001026","article-title":"Posterior reversible encephalopathy syndrome with spinal cord involvement","volume":"83","author":"de Havenon","year":"2014","journal-title":"Neurology."},{"issue":"5","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"427","DOI":"10.4065\/mcp.2009.0590","article-title":"Posterior reversible encephalopathy syndrome: Associated clinical and radiologic findings","volume":"85","author":"Fugate","year":"2010","journal-title":"Mayo Clin Proc."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"964","DOI":"10.3389\/fneur.2019.00964","article-title":"Imaging of atypical and complicated posterior reversible encephalopathy syndrome","volume":"10","author":"Saad","year":"2019","journal-title":"Front Neurol."},{"issue":"9","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1016\/S1474-4422(15)00111-8","article-title":"Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions [published correction appears in Lancet Neurol. 2015 Sep;14(9):874]","volume":"14","author":"Fugate","year":"2015","journal-title":"Lancet Neurol."},{"issue":"1-2","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.jns.2014.09.019","article-title":"A multi-disciplinary model of risk factors for fatal outcome in posterior reversible encephalopathy syndrome","volume":"347","author":"Alhilali","year":"2014","journal-title":"J Neurol Sci."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"39","DOI":"10.36076\/ppj\/2015.18.39","article-title":"Do cervical epidural injections provide long-term relief in neck and upper extremity pain? 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