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Table 1 Reports of PRES with aSAH-associated vasospasm

From: Protective effect of unilateral vasospasm in the setting of HHH-associated posterior reversible encephalopathy syndrome: case report, review of the literature, and treatment considerations

Author

Age, gender

Aneurysm location

Vasospasm location

Edema distribution

Treatment

Vasospasm treatment

Baseline BP (MAP)

Target BP (mmHg)

PRES (days after SAH)

PRES (days after HT)

Hx of HTN

mRS

Symptoms during PRES/CVS

Amin 1999 [10]

52, F

L MCA

Not described.

Bilateral occipital

Clipping

Hyperdynamic

Dobutamine

150/70 (97)

SBP 200

13

7

N

1

Lethargy

66, M

X

 

Bilateral occipital

 

Hyperdynamic

Dobutamine

NA

SBP 200

12

10

Y

6

Lethargy aphasia Seizure R hemiparesis

Sanelli 2005 [11]

49, F

AComm

Bilateral ACA

Bilateral occipital R occipital ICH

Clipping

HHH

NA

SBP 140–200

17

13

NA

1

Lethargy

Wartenberg 2006 [12]

73, F

L ICA

L ACA and MCA

Bilateral occipital parietal

Clipping

HHH

145–175

SBP 140–200

10

7

Y

4

Coma with decorticate posturing

Jang 2010 [13]

65, F

PComm

Not described.

Bilateral temporal occipital

Coiling

HHH

130/80 (97)

SBP 165

7

1

N

1

Confusion, headache, and vision loss

Giraldo 2011 [14]

62, F

AComm

Circle of Willis and Bilateral ACA

Bilateral parietal occipital

Coiling

Hypertension

138/70 (93)

MAP 115

12

6

N

1

Confusion, headache, retro-orbital pain

70, F

AComm

NA

Bilateral temporal occipital

Coiling

Hypertension

Hypervolemia

149/58 (88)

MAP 120

12

11

Y

1

Lethargy seizure

62, M

AComm

NA

Bilateral temporal occipital cerebellar

Clipping

Hypertension

Hypervolemia

SBP 200

SBP 180

14

13

Y

4

Lethargy

Dhar 2011 [8]

47, F

R PComm

R MCA, bilateral ACA

L posterior temporal parietal

Clipping

Hypertension

MAP 65–75

MAP 120

13

7

N

1

Lethargy, confusion, L facial droop, aphasia, and HP

Voetsch 2011 [2]

35, F

R MCA

R MCA

Bilateral PCA

L MCA

Clipping

Hypertension

 

MAP 110

7

4

NA

3

Headadche, seizure, and declined arousal

Awori 2016 [9]

63, M

AComm

Basilar, MCA, PCA, ACA

Bilateral temporal occipital

Clipping

Hypertension

140/109

MAP 110

    

Mental status change, seizure

Current Study

33, F

R PComm

R ACA and MCA

L parietal occipital

Clipping

HHH

 

SBP 180–200

 

10

 

0

Wernicke’s aphasia, seizure

Total

10, F; 3, M

Avg age 57

        

Avg: 8 days

 

Avg mRS: 2.2

 
  1. MAP mean arterial pressure; Hx OF HTN history of hypertension (Y= Yes, N = No, NA = Not reported); mRS modified rankin score