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Reversible posterior white matter encephalopathy complicated with cerebral hemorrhage after orthotopic liver transplantation

Heyin Mi, Shujuan Li, Xin Zhao, Lixin Li, Wenli Hu

Posterior Reversible Encephalopathy Syndrome (PRES) is a well-known but uncommon clinical syndrome with acute neurological phenomenon leading to destroying of the blood brain barrier and vasogenic edema on brain imaging. Studies showed PRES occurred in about 1% of liver transplant recipients within 3 months postoperatively. In this paper we reported a case of 43 year-old woman who received orthotopic liver transplantation and reversible posterior white matter encephalopathy occurred 3 d after surgery, complicated with cerebral hemorrhage. Since the lack of clinical data, this report may give additional contribution to the understanding of PRES.