Involvement of the posterior cerebral structures is well established in patients with posterior reversible encephalopathy syndrome (PRES). In striking contrast to this, a subset of patients may have an atypical presentation characterized by the involvement of central structures . This is usually seen in the backdrop of systemic lupus erythematosus (SLE), a rare but known cause of PRES . Timely diagnosis with judicious use of radiological modalities and therapeutic intervention is key for successful recovery; however, the prognosis of PRES in patients with SLE is not very promising . We are describing an extremely rare case of a patient diagnosed with a central variant of PRES with previously undiagnosed SLE.
Index: magnetic resonance imaging, posterior reversible encephalopathy syndrome, systemic lupus erythematosus