{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T14:01:04Z","timestamp":1761746464013,"version":"build-2065373602"},"reference-count":2,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2012,2,3]],"date-time":"2012-02-03T00:00:00Z","timestamp":1328227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openneuroimagingjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TONIJ"],"published-print":{"date-parts":[[2012,2,3]]},"abstract":"<jats:p>Certain Acute Clinical presentations are highly suggestive of stroke caused by specific mechanisms. One example of this would be the sudden onset of aphasia without hemiparesis often reflecting cerebral embolism, frequently from a cardiac source. Posterior reversible encephalopathy syndrome (PRES) describes a usually reversible neurologic syndrome with a variety of presenting symptoms from headache, altered mental status, seizures, vomiting, diminished\nspontaneity and speech, abnormalities of visual perception and visual loss. We report a patient presenting with elevated blood pressure, CT characteristics of PRES but a highly circumscribed neurologic syndrome (Wernicke's Aphasia without hemiparesis) suggestive of a cardioembolic stroke affecting the left MCA territory. That is, PRES mimicked a focal stroke syndrome. The importance of recognizing this possibility is that his deficits resolved with blood pressure control, while\nother treatments, such as intensifying his anticoagulation would have been inappropriate. In addition, allowing his blood pressure to remain elevated as is often done in the setting of an acute stroke might have perpetuated the underlying pathophysiology of PRES leading to a worse clinical outcome. For this reason PRES needs to be recognized quickly and treated appropriately.<\/jats:p>","DOI":"10.2174\/1874440001206010010","type":"journal-article","created":{"date-parts":[[2012,2,7]],"date-time":"2012-02-07T05:16:46Z","timestamp":1328591806000},"page":"10-12","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Posterior Reversible Encephalopathy Syndrome Mimicking a Left Middle\nCerebral Artery Stroke"],"prefix":"10.2174","volume":"06","author":[{"given":"Santo","family":"Terranova","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jai Dev","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard B","family":"Libman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"refR1","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1056\/NEJM199602223340803","volume":"334","author":"Hinchey J","year":"1996","unstructured":"Hinchey J, Chaves C, Appignani B, et al. \n                A reversible posterior leukoencephalopathy syndrome \n                N Engl J Med  \n                1996; \n                334\n                : 494-500.","journal-title":"N Engl J Med"},{"key":"refR2","doi-asserted-by":"publisher","first-page":"904","DOI":"10.2214\/AJR.07.2024","volume":"189","author":"McKinney AM","year":"2007","unstructured":"McKinney AM, Short J, Truwit CL, et al. \n                Posterior reversible\nencephalopathy syndrome: incidence of atypical regions of\ninvolvement and imaging findings \n                Am J Roentgenol  \n                2007; \n                189\n                : 904-12.","journal-title":"Am J Roentgenol"}],"container-title":["The Open Neuroimaging Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/openneuroimagingjournal.com\/contents\/volumes\/V06\/TONIJ-6-10\/TONIJ-6-10.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openneuroimagingjournal.com\/contents\/volumes\/V06\/TONIJ-6-10\/TONIJ-6-10.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/openneuroimagingjournal.com\/contents\/volumes\/V06\/TONIJ-6-10\/TONIJ-6-10.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:22:57Z","timestamp":1761736977000},"score":1,"resource":{"primary":{"URL":"https:\/\/openneuroimagingjournal.com\/VOLUME\/06\/PAGE\/10\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,3]]},"references-count":2,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,2,3]]}},"alternative-id":["TONIJ-6-10"],"URL":"https:\/\/doi.org\/10.2174\/1874440001206010010","relation":{},"ISSN":["1874-4400"],"issn-type":[{"type":"print","value":"1874-4400"}],"subject":[],"published":{"date-parts":[[2012,2,3]]},"assertion":[{"value":"Peer Reviewed","order":0,"name":"review_status","label":"Review Status","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Double blind","order":1,"name":"review_process","label":"Review Process","group":{"name":"peer_review_details","label":"Peer Review Details"}},{"value":"Checked with iThenticate","order":0,"name":"screening_status","label":"Screening Status","group":{"name":"plagiarism_screening","label":"Plagiarism Screening"}},{"value":"2011-6-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-9-29","order":1,"name":"revised","label":"Revised","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-11-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-02-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}