scholarly journals Management of posterior reversible encephalopathy syndrome in a pediatric patient with a rare adrenocortical tumor after computed tomography-guided biopsy

2021 ◽  
Vol 7 (6) ◽  
pp. 235-237
Author(s):  
Ram Singh ◽  
Vishal Bhatnagar
Keyword(s):  
Computed Tomography ◽  
Pediatric Patient ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Adrenocortical Tumor ◽  
Posterior Reversible Encephalopathy ◽  
Guided Biopsy ◽  
Reversible Encephalopathy

scholarly journals Acute Pancreatitis and Posterior Reversible Encephalopathy Syndrome: A Case Report

2016 ◽  
Vol 29 (9) ◽  
pp. 567 ◽  
Author(s):  
Vítor Magno Pereira ◽  
Luís Marote Correia ◽  
Tiago Rodrigues ◽  
Gorete Serrão Faria
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Emergency Department ◽  
Magnetic Resonance ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Epigastric Pain ◽  
Brain Magnetic Resonance Imaging ◽  
Resonance Imaging ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

The posterior reversible encephalopathy syndrome is a neurological syndrome characterized by headache, confusion, visual disturbances and seizures associated with identifiable areas of cerebral edema on imaging studies. The authors report the case of a man, 33 years-old, leukodermic with a history of chronic alcohol and tobacco consumption, who is admitted to the emergency department for epigastric pain radiating to the back and vomiting with about six hours of evolution and an intense holocranial headache for two hours. His physical examination was remarkable for a blood pressure of 190/100 mmHg and tenderness in epigastrium. His analytical results revealed emphasis on amylase 193 U/L and lipase 934 U/L. During the observation in the emergency department,he presented a generalized tonic-clonic seizure. Abdominal ultrasonography was performed and suggestive of pancreatitis withoutgallstones signals. Head computed tomography showed subarachnoid haemorrhage and a small right frontal cortical haemorrhage. The brain magnetic resonance imaging done one week after admission showed areas of a bilateral and symmetrical T2 / FLAIR hyperintensities in the subcortical white matter of the parietal and superior frontal regions, suggesting a diagnosis of posterior reversible encephalopathy syndrome. Abdominal computed tomography (10 days after admission) demonstrated a thickened pancreas in connection with inflammation and two small hypodense foci in the anterior part of the pancreas body, translating small foci of necrosis. The investigation of a thrombophilic defect revealed a heterozygous G20210A prothrombin gene mutation. The patient was discharged without neurological sequelae and asymptomatic. The follow-up brain magnetic resonance imaging confirmed the reversal of the lesions, confirming the diagnosis.

scholarly journals Management of Posterior Reversible Syndrome in Preeclamptic Women

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
S. Poma ◽  
M. P. Delmonte ◽  
C. Gigliuto ◽  
R. Imberti ◽  
M. Delmonte ◽  
...  
Keyword(s):  
Computed Tomography ◽  
White Matter ◽  
Magnetic Resonance ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Anesthetic Management ◽  
Cerebral Hemispheres ◽  
Posterior Reversible Encephalopathy ◽  
Alteration Of Consciousness ◽  
Reversible Encephalopathy ◽  
Visual Disturbances

Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome associated with a number of conditions including preeclampsia. It is characterized by seizures, alteration of consciousness, visual disturbances, and symmetric white matter abnormalities, typically in the posterior parietooccipital regions of the cerebral hemispheres, at computed tomography (CT) and magnetic resonance (MRI). We report three new cases of PRES in preeclamptic patients and describe the management of these patients. We present a brief review of other cases in the literature, with particular attention to the anesthetic management.

Posterior Reversible Encephalopathy Syndrome: A Review

2017 ◽  
Vol 68 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Jai Shankar ◽  
Jillian Banfield
Keyword(s):  
Computed Tomography ◽  
Magnetic Resonance ◽  
Early Diagnosis ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Immunosuppressive Treatment ◽  
Magnetic Resonance Images ◽  
Diagnosis And Treatment ◽  
Imaging Findings ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

Radiologists may be the first to suggest the diagnosis of posterior reversible encephalopathy syndrome (PRES). PRES is associated with many diverse clinical entities, the most common of which are eclampsia, hypertension, and immunosuppressive treatment. Radiologists should be aware of the spectrum of imaging findings in PRES. When promptly recognized and treated, the symptoms and radiological abnormalities can be completely reversed. When unrecognized, patients can progress to ischemia, massive infarction, and death. In this review, we present an overview of the unique signs observed on computed tomography and magnetic resonance images in PRES that can help in the early diagnosis and treatment that is highly effective in this syndrome.

scholarly journals Posterior reversible encephalopathy syndrome induced by food poisoning in a pediatric patient: a case report

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052098020
Author(s):  
Xue-mei Wu ◽  
Guang-liang Wang ◽  
Chang-gui Kou ◽  
Jiang-tao Wang ◽  
Jian-min Liang ◽  
...  
Keyword(s):  
Pediatric Patient ◽  
Posterior Reversible Encephalopathy Syndrome ◽  
Kidney Diseases ◽  
Immunosuppressive Agents ◽  
Pressure Fluctuations ◽  
Food Poisoning ◽  
Altered Consciousness ◽  
Short Term ◽  
Posterior Reversible Encephalopathy ◽  
Reversible Encephalopathy

Posterior reversible encephalopathy syndrome (PRES) can develop in patients following exposure to multiple triggers, including blood pressure fluctuations, kidney diseases, immunosuppressive agents, chemotherapy, or autoimmune disorders. However, to the best of our knowledge, the development of PRES secondary to food poisoning has not been previously reported, especially in a pediatric patient. Here, we report a 13-year-old boy who presented with PRES following the consumption of palmatum (a chicken feet dish). The patient presented with headache, vomiting, and altered consciousness. Neuroimaging findings revealed white matter hyperintensities in a bilateral, symmetrical, and parieto-occipital pattern. The patient was diagnosed with PRES and was managed with fluid expansion and a short-term mannitol regimen (1 g/kg every 12 hours for 3 days). Neuroimaging findings returned to normal at 8 days after admission. Food poisoning may therefore be a new possible trigger for PRES. A timely PRES diagnosis is recommended to prevent possible central nervous system complications.

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