{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:30:17Z","timestamp":1761903017223,"version":"build-2065373602"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Reversible posterior encephalopathy syndrome (PRES) is a clinical and radiological entity resulting from cerebral vascular dysregulation and disruption of the blood-brain barrier. It is characterized by neurological symptoms such as seizures, headaches, altered mental status, and visual disturbances. Although PRES is usually reversible when identified promptly and treated appropriately, delays in recognition may lead to severe complications or permanent deficits. The syndrome is considered uncommon as a postoperative complication and, within neurosurgery, has mostly been described after posterior fossa procedures.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n We present the case of a patient who developed PRES following microvascular decompression of the trigeminal nerve root, performed for classical trigeminal neuralgia. To the best of our knowledge, this is the first reported occurrence of PRES after this specific surgical intervention. The patient developed acute neurological changes in the immediate postoperative period, leading to the diagnosis of PRES. Radiological findings supported the clinical impression, and appropriate management led to gradual neurological recovery.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In this case, several postoperative factors likely contributed to the onset of PRES, including acute arterial hypertension, insufficient pain control, and potential manipulation of structures adjacent to the brainstem during surgery. This highlights the multifactorial nature of PRES and the importance of considering it in the differential diagnosis when unexplained neurological symptoms occur after cranial surgery. Increasing awareness of PRES as a possible complication of microvascular decompression may allow for earlier recognition, prompt management, and ultimately improved outcomes for patients undergoing such procedures.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_880_2025","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:25:43Z","timestamp":1761902743000},"page":"455","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Posterior reversible encephalopathy syndrome after trigeminal microvascular decompression: A case report"],"prefix":"10.25259","volume":"16","author":[{"given":"Marina","family":"Fidalgo","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hospital Universitario Cruces, Barakaldo, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u00f1aki","family":"Arrese","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Universitario R\u00edo Hortega, Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosario","family":"Sarabia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Universitario R\u00edo Hortega, Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Cepeda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Universitario R\u00edo Hortega, Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga","family":"Esteban-Sinovas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Universitario R\u00edo Hortega, Valladolid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"10.25259\/SNI_880_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s00701-013-1690-4","article-title":"Delayed posterior reversible encephalopathy syndrome (PRES) after posterior fossa surgery","volume":"155","author":"Avecillas-Chas\u00edn","year":"2013","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_880_2025\/ref-2","first-page":"825","article-title":"Hemodynamic and permeability changes in posterior reversible encephalopathy syndrome measured by dynamic susceptibility perfusion-weighted MR imaging","volume":"26","author":"Brubaker","year":"2005","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_880_2025\/ref-3","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.brainresbull.2017.03.012","article-title":"Immune system activation in the pathogenesis of posterior reversible encephalopathy syndrome","volume":"131","author":"Chen","year":"2017","journal-title":"Brain Res Bull"},{"key":"10.25259\/SNI_880_2025\/ref-4","doi-asserted-by":"crossref","first-page":"290","DOI":"10.7775\/rac.v86.i4.105393415","article-title":"Trigeminocardiac reflex: An overview","volume":"86","author":"Chowdhury","year":"2018","journal-title":"Rev Argent Cardiol"},{"issue":"10","key":"10.25259\/SNI_880_2025\/ref-5","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.redar.2015.03.003","article-title":"S\u00edndrome de encefalopat\u00eda posterior reversible en el postoperatorio de neurocirug\u00eda. Revisi\u00f3n de la literatura [Posterior reversible encephalopathy syndrome after neurosurgery: A literature review]","volume":"62","author":"Dur\u00e1n Paz","year":"2015","journal-title":"Rev Esp Anestesiol"},{"key":"10.25259\/SNI_880_2025\/ref-6","doi-asserted-by":"crossref","first-page":"706","DOI":"10.3390\/brainsci13050706","article-title":"Can post-operative posterior reversible encephalopathy syndrome (PRES) be considered an insidious rare surgical complication?","volume":"13","author":"Frati","year":"2023","journal-title":"Brain Sci"},{"key":"10.25259\/SNI_880_2025\/ref-7","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1056\/NEJMra2114482","article-title":"Posterior reversible encephalopathy syndrome","volume":"388","author":"Geocadin","year":"2023","journal-title":"N Engl J Med"},{"key":"10.25259\/SNI_880_2025\/ref-8","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1007\/s00381-015-2954-5","article-title":"Posterior reversible encephalopathy syndrome (PRES): A rare condition after resection of posterior fossa tumors: Two new cases and review of the literature","volume":"32","author":"Gonz\u00e1lez Quarante","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_880_2025\/ref-9","doi-asserted-by":"crossref","first-page":"194","DOI":"10.3389\/fneur.2020.00194","article-title":"Clinical and MRI features of posterior reversible encephalopathy syndrome with atypical regions: A descriptive study with a large sample size","volume":"11","author":"Li","year":"2020","journal-title":"Front Neurol"},{"key":"10.25259\/SNI_880_2025\/ref-10","doi-asserted-by":"crossref","first-page":"1776","DOI":"10.1016\/j.jstrokecerebrovasdis.2016.03.042","article-title":"Posterior reversible encephalopathy syndrome: clinical differences in patients with exclusive involvement of posterior circulation compared to anterior or global involvement","volume":"25","author":"Marrone","year":"2016","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.25259\/SNI_880_2025\/ref-11","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s40981-016-0065-2","article-title":"Perioperative posterior reversible encephalopathy syndrome in a patient with no history of hypertension: A case report","volume":"2","author":"Sato","year":"2016","journal-title":"JA Clin Rep"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/posterior-reversible-encephalopathy-syndrome-after-trigeminal-microvascular-decompression-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/posterior-reversible-encephalopathy-syndrome-after-trigeminal-microvascular-decompression-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:26:10Z","timestamp":1761902770000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/posterior-reversible-encephalopathy-syndrome-after-trigeminal-microvascular-decompression-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":11,"alternative-id":["10.25259\/SNI_880_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_880_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"type":"electronic","value":"2152-7806"},{"type":"print","value":"2229-5097"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"article-number":"455"}}