Sign Up for a Free Account

This is an image preview.
Start a Free Account
to view the full image.

Sign Up for a Free Account For information on discounts, see Plans & Pricing

  • Nearly 3,000 illustrations, including video clips of neurologic disorders.

  • Every article is reviewed by our esteemed Editorial Board for accuracy and currency.

  • Full spectrum of neurology in 1,200 comprehensive articles.

  • Listen to MedLink on the go with Audio versions of each article.

Multifocal narrowing and dilation of intracranial vessels (1-month follow-up)

One month after initial presentation, there is irregularity of multiple intracranial branches including the distal internal carotid arteries, distal vertebral arteries, basilar artery, and proximal segments of the anterior, middle, and posterior cerebral arteries bilaterally. The noted irregularities have improved since the initial examination. CT angiogram findings were consistent with improvement of the intracranial vasculopathy. Our clinical impression was that our patient had possible PRES as well as reversible segmental cerebral vasoconstriction (Call-Fleming syndrome), possibly due to treatment with cyclosporine. Tacrolimus neurotoxicity has also been associated with PRES. (Contributed by Dr. Jose Biller.)

Related Article

Related Media

Associated Disorders

  • Aseptic meningitis
  • Border-zone infarction
  • Brachial plexus injury
  • Femoral neuropathy
  • Hypoxic or ischemic encephalopathy
  • Lumbosacral plexopathy
  • Neuromuscular disorders
  • Polyneuropathy
  • Posterior reversible leukoencephalopathy
  • Small vessel infarction
  • Watershed infarction