{"id":10264,"date":"2024-01-17T19:33:50","date_gmt":"2024-01-17T19:33:50","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=10264"},"modified":"2025-12-30T19:09:27","modified_gmt":"2025-12-30T19:09:27","slug":"posterior-reversible-encephalopathy-syndrome-pres","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/posterior-reversible-encephalopathy-syndrome-pres\/","title":{"rendered":"Diagn\u00f3stico del S\u00edndrome de Encefalopat\u00eda Posterior Reversible (PRES)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El s\u00edndrome de encefalopat\u00eda posterior reversible (PRES) es un trastorno neurol\u00f3gico de inicio (sub)agudo caracterizado por s\u00edntomas neurol\u00f3gicos variados, que pueden incluir dolor de cabeza, deterioro de la agudeza visual o d\u00e9ficit del campo visual, trastornos de la conciencia, confusi\u00f3n, convulsiones y d\u00e9ficits neurol\u00f3gicos focales.<!--more--><\/p>\n<p><strong>Hallazgos diagn\u00f3sticos en pacientes con s\u00edndrome de encefalopat\u00eda posterior reversible<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 28.1371%;\"><strong>Herramientas diagn\u00f3sticas<\/strong><\/td>\n<td style=\"width: 71.8629%;\"><strong>Hallazgos<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 28.1371%;\">Laboratorio<\/td>\n<td style=\"width: 71.8629%;\">Hipomagnesemia<br \/>\nLactato dehidrogenasa \u2191<br \/>\nPar\u00e1metros de funci\u00f3n hep\u00e1tica \u2191<br \/>\nCreatinina \u2191<br \/>\nAlb\u00famina \u2193<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 28.1371%;\">Fluido cerebroespinal<\/td>\n<td style=\"width: 71.8629%;\">Alb\u00famina \u2191<br \/>\nDisociaci\u00f3n albuminocitol\u00f3gica<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 28.1371%;\">EEG<\/td>\n<td style=\"width: 71.8629%;\">Enlentecimiento theta difuso<br \/>\nEnlentecimiento delta<br \/>\nActividad delta r\u00edtmica<br \/>\nActividad de ondas agudas y lentas<br \/>\nDescargas epileptiformes lateralizantes peri\u00f3dicas.<br \/>\nEnlentecimiento difuso o focal (sim\u00e9trico) de las actividades de fondo.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 28.1371%;\">Tomograf\u00eda computarizada y resonancia magn\u00e9tica<\/td>\n<td style=\"width: 71.8629%;\">Edema vasog\u00e9nico<br \/>\nDistribuci\u00f3n de cuencas<br \/>\nPatr\u00f3n parietooccipital<br \/>\nAfectaci\u00f3n del l\u00f3bulo frontal y temporal<br \/>\nLesiones subcorticales de la sustancia blanca.<br \/>\nDistribuci\u00f3n bilateral, frecuentemente sim\u00e9trica.<br \/>\nSecuencias hiperintensas potenciadas en T2 y FLAIR<br \/>\nLesiones iso, hipo o hiperintensas en DWI<br \/>\nRealce de contraste facultativo<br \/>\nMicrohemorragias, posible hemorragia intracerebral<br \/>\nValores de ADC aumentados o disminuidos dependiendo\/indicando (ir)reversibilidad de las lesiones<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 28.1371%;\">Angiograf\u00eda<\/td>\n<td style=\"width: 71.8629%;\">Vasoconstricci\u00f3n, vasoespasmo (difuso o focal)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Criterios sugeridos para el diagn\u00f3stico del s\u00edndrome de encefalopat\u00eda posterior reversible<\/p>\n<ul>\n<li>S\u00edntomas neurol\u00f3gicos de inicio agudo<\/li>\n<li>Edema vasog\u00e9nico (focal) en neuroimagen<\/li>\n<li>Reversibilidad de los hallazgos cl\u00ednicos y\/o radiol\u00f3gicos<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Fischer M, Schmutzhard E. Posterior reversible encephalopathy syndrome. J Neurol. 2017 Aug;264(8):1608-1616. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28054130\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Geocadin RG. Posterior Reversible Encephalopathy Syndrome. N Engl J Med. 2023 Jun 8;388(23):2171-2178. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37285527\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Ene 03, 2024.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de encefalopat\u00eda posterior reversible (PRES) es un trastorno neurol\u00f3gico de inicio (sub)agudo caracterizado por s\u00edntomas neurol\u00f3gicos variados, que pueden incluir dolor de cabeza, deterioro de la agudeza visual o d\u00e9ficit del campo visual, trastornos de la conciencia, confusi\u00f3n, convulsiones y d\u00e9ficits neurol\u00f3gicos focales.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[123,13,652,651,2640,2641,1187,5,4],"class_list":["post-10264","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-diagnosis","tag-diagnostico","tag-encefalopatia","tag-encephalopathy","tag-posterior","tag-pres","tag-reversible","tag-sindrome","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10264","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=10264"}],"version-history":[{"count":10,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10264\/revisions"}],"predecessor-version":[{"id":10279,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/10264\/revisions\/10279"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=10264"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=10264"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=10264"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}