Figure 1. Patient flow chart, clinicoradiologic features, management, and 90-day follow-up in 70 patients with severe posterior reversible encephalopathy syndrome.
¥ Hypertension was defined according to the 2007 European guidelines for the management of arterial hypertension(16). Grade 1: mild hypertension (systolic blood pressure [SBP], 140–159 mmHg and/or diastolic blood pressure [DBP], 90–99 mmHg); Grade 2: moderate hypertension (SBP, 160–179 mmHg and/or DBP, 100–109 mmHg); Grade 3: severe hypertension (SBP≥180 mmHg and/or DBP≥110 mmHg) ‡ Mean arterial pressure (2/3 diastolic +1/3 systolic pressure) § Nine patients with haemorrhagic complications at first imaging: 3 with no follow-up imaging studies, 3 with persistent haemorrhagic abnormalities by follow-up imaging, and 3 with resolution of the haemorrhagic abnormalities Ψ According to the Logistic Organ Dysfunction (LOD) score [27] †The primary outcome measure was the score on the Glasgow Outcome Scale [39] (GOS) 90 days after onset of severe posterior reversible encephalopathy syndrome. A score of 1 indicates death; 2, a vegetative state (the patient is unable to interact with the environment); 3, severe disability (the patient is unable to live independently but can follow commands); 4, moderate disability (the patient is capable of living independently but unable to return to work or school); and 5, mild or no disability (the patient is able to return to work or school). A favourable outcome was defined as a score of 5 and an unfavourable outcome as a score lower than 5. The day-90 GOS score was known in all 70 patients.
