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Acute Balint's syndrome is not always caused by a stroke

of signal by reduced Brownian motion. Consistent with the reversible neurologic deficits, vasogenic edema accounts for the known radiologic findings in PRES: T2w signal intensities correspond with isoor hypointense lesions in DWI and elevated ADC values. There are only few reports of PRES with eclampsia and signal intensities in T2w and DWI, usually associated with irreversibility and bad clinical outcome [3]. Consistent with the case presented here, some authors have also described normal ADC values in areas of DWI hyperintensitiy with PRES. They postulated that these paradoxically normal ADC values resulted from intravoxel averaging of both cytotoxic and vasogenic edema (pseudonormalization), thus representing an early sign of irreversibility [5]. In contrast to the cases described yet, in our patient DWI signal intensities of the corresponding hyperintense T2w foci (apart from the intracerebral hemorrhage) are associated with areas of normal ADC values – a phenomenon called pseudonormalization. Although with this constellation, conversion to irreversible edema has been described, we found complete clinical and radiologic reversibility in our patient. It must be stated that prediction of the clinical course based on DWI and ADC mapping should be used with caution. References