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05 November 2021: Articles

Posterior Reversible Encephalopathy Syndrome Presenting Atypically as a Non-Convulsive Seizure

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents

Adebola Oluwabusayo Adetiloye E* , Julio Valencia Manrique F , Ana Victoria F , Haider Haider F , Mohammed T. Al-Juboori E

DOI: 10.12659/AJCR.933667

Am J Case Rep 2021; 22:e933667

Table 2. Cerebrospinal fluid analysis.

Day 7Day 13
ClearClear
100 cells/mcL100 cells/mcL
32.2 mg/dL65.4 mg/dL
100 mg/dL78 mg/dL
No acid-fast bacilli isolated after 6 weeksNo acid-fast bacilli isolated after 6 weeks
No growthNo growth
No fungus isolated after 4 weeksNo fungus isolated after 4 weeks
, HSV-1, HSV-2, VZV, HHV6, Parechovirus, Enterovirus, CMV, , CryptococcusNot detectedNot detected
Not detected
AMPA-R Antibody CBANegative
Anti-Glial Nuclear Antibody, Type 1Negative
Anti-Neuronal Nuclear Antibody, Type 1, 2,3Negative
CASPR2-IgGNegative
CRMP-5-IgGNegative
Amphiphysin AbNegative
DPPX Antibody IFANegative
GABA-B-R Antibody CBANegative
GAD 65Negative
Leucine-Rich Glioma Inactivated Protein-1 IgGNegative
mGluR1Negative
NMDA-R Antibody CBANegative
Purkinje Cell Cytoplasmic Antibody, Type 1,2Negative
Purkinje Cell cytoplasmic Antibody, Type TrNegative
GFAP IFANegative
CSF – cerebrospinal fluid; PCR – polymerase chain reaction; IFA – immunofluorescent assay; IgG – immunoglobulin G; HSV – herpes simplex virus; VZV – Varicella zoster virus; HHV – human herpes virus; AMPA-R – α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor; CBA – cell binding assay; CASPR2 – contactin-associated protein-like 2; CRMP – collapsin response-mediator protein-5 neuronal; DPPX – dipeptidyl peptidase-like protein; NMDA-R – N-methyl-D-aspartate receptor; GABA-B-R – gamma-amino butyric acid receptor, type B; GAD – glutamic acid decarboxylase; GFAP – glial fibrillary acidic protein; mGluR1 – metabotropic glutamate receptor 1.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923