{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T04:41:34Z","timestamp":1679114494865},"reference-count":14,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nPosterior reversible encephalopathy syndrome (PRES) can occur due to the detrimental effect of malignant hypertension on cerebral autoregulation. Most reported cases describe involvement of the supratentorial areas. Involvement of the posterior fossa structures in conjunction with supratentorial involvement has also been reported; however, PRES affecting the infratentorial structures without supratentorial involvement is a rare phenomenon. Clinical manifestations can involve severe headache, seizures, and reduced consciousness with treatment focused primarily on blood pressure control.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nWe report a case of PRES with isolated involvement of the infratentorial structures leading to obstructive hydrocephalus. The patient was managed with aggressive control of blood pressure and avoided ventriculostomy or posterior fossa decompression with a good outcome.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nMedical management in the absence of neurological deficit can be associated with a good outcome.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_963_2022","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T08:23:54Z","timestamp":1679041434000},"page":"94","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hypertensive posterior reversible encephalopathy causing obstructive hydrocephalus"],"prefix":"10.25259","volume":"14","author":[{"given":"Saad","family":"Moughal","sequence":"first","affiliation":[{"name":"Department of Neuroradiology, Leeds Teaching Hospitals NHS Trust, Leeds,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Medicine, Pinderfields General Hospital, Wakefield,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayyar","family":"Saleem","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Leeds Teaching Hospitals NHS Trust, Leeds,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Derham","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Leeds General Infirmary, Leeds, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"10.25259\/SNI_963_2022\/ref-1","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s00701-017-3228-7","article-title":"Life-threatening posterior reversible encephalopathy syndrome in the cerebellum treated by 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