TITLE

Posterior Reversible Leukoencephalopathy Syndrome (PRES) in Intensive Care Unit -- Case series

AUTHOR(S)
Gokhale, Antara; Kimona, Atheel; Kantor, Sandeep; Prakash, S.; Manhas, Yogesh
PUB. DATE
November 2017
SOURCE
Indian Journal of Critical Care Medicine;Nov2017, Vol. 21 Issue 11, p772
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Introduction: Posterior reversible encephalopathy syndrome (PRES) is characterized by a range of clinico neuro radiological manifestation along with hypertension due to varied etiology. Contrary to its name, a small number of patients have residual neurological deficits. Patients with severe manifestation of PRES may get admitted to the Intensive Care Unit (ICU) due to coma or status epilepticus. Small case series and large multicenter studies have been reported. Materials and Methods: We report a single center series of ten cases admitted to ICU over a 5 year period in a tertiary care centre. We retrospectively analyzed patients, admitted to adult ICU with different etiologies, and diagnosed to have PRES. Outcome at discharge and at 90 days after ICU admission was noted. Result: The most common etiologies were medications. ICU admissions were mainly for uncontrolled hypertension, seizures, and low level of consciousness. All except one patient were ventilated. Four patients had residual neurological damage. Conclusion: Irrespective of the etiology, early control of blood pressure, and removal of precipitating factors is of paramount importance to prevent morbidity and mortality. Awareness about PRES among the intensivist is necessary to ensure early recognition and treatment.
ACCESSION #
126249072

 

Related Articles

  • A Case of Chronic Renal Failure and Recurrent Posterior Reversible Encephalopathy Syndrome. KUTLU, Ayşe; SELEKLER, Macit; BÜYÜKBURGAZ, Ülkü; AKANSEL, Gür; EFENDI, Hüsnü; KOMŞUOĞLU, SEZER Şener // Archives of Neuropsychiatry / Noropsikiatri Arsivi;Dec2011, Vol. 48 Issue 4, p270 

    Posterior reversible encephalopathy syndrome (PRES) is a rare clinical and radiological entity of neurological origin which has different etiologies. A 27-yearold male patient with a history of type 1 diabetes, uncontrolled hypertension and chronic renal failure presented to the emergency...

  • An intensive care approach to posterior reversible encephalopathy syndrome (PRES): An analysis of 7 cases. Demirel, İsmail; Kavak, Burçin Salih; Özer, Ayşe B.; Bayar, Mustafa K.; Erhan, Ömer L. // Journal of the Turkish-German Gynecological Association;Dec2014, Vol. 15 Issue 4, p217 

    Objective: The aim of this study was to retrospectively evaluate the intensive care unit treatments applied to obstetrics patients with a diagnosis of posterior reversible encephalopathy syndrome (PRES). Material and Methods: The cases of 7 pregnant patients who had been diagnosed with PRES...

  • Clinical profile and outcome of posterior reversible encephalopathy syndrome (PRES). Patil, Virendra C.; Agrwal, Vaibhav; Rajput, Amardip; Garg, Rishu; Kshirsagar, Ketan; Chaudhari, Vinit // Annals of Tropical Medicine & Public Health;Jul/Aug2015, Vol. 8 Issue 4, p105 

    Background: Posterior reversible encephalopathy syndrome (PRES) is a clinico-radiographic syndrome of multiple etiologies. Still, the exact pathophysiology of PRES is not clear. Aims and Objectives: To study demographic, etiological, and clinic-radiological profiles of patients presenting with...

  • Posterior reversible encephalopathy syndrome in a child with autoimmune lymphoproliferative syndrome: Case report and review of literature. Chandramohan, Vaishnavi; Nagarajan, Vinoth Ponnurangam; Sathyamoorthi, Muthamil Selvan; Kumar, Sathish; Shanmugasundaram, Chitrambalam; Periakaruppan, Gokulakrishnan; Scott, Julius Xavier // Journal of Pediatric Neurosciences;Sep-Dec2012, Vol. 7 Issue 3, p221 

    Posterior reversible encephalopathy syndrome (PRES) is characterized by headache, nausea, vomiting, seizures and visual disturbances. PRES has been usually associated with hypertension, chronic renal disease, malignancy and chemotherapeutic agents. We report the association of PRES with...

  • Ä°zole Beyin Sapı Tutulumu Yapan Posterior Reversibl Ensefalopati Sendromu. Ergün, Tarkan; Lakadamyalı, Hatice // Turkish Journal of Neurology / Turk Noroloji Dergisi;Sep2013, Vol. 19 Issue 3, p111 

    Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiologic entity characterized by headache, variable mental status, epileptic seizures, visual disturbances, and typical transient changes in the posterior cerebral perfusion. Parieto-occipital region is the most commonly...

  • A dizzy and disorientated DJ. Rinaldi, Simon; Pitceathly, Robert D.S.; Roberts, Mark E. // Practical Neurology (BMJ Publishing Group);Aug2011, Vol. 11 Issue 4, p252 

    The article focuses on the 35-year-old female disc jockey who was amnesic and disorientated and was admitted after she collapsed without losing consciousness. It mentions that the patient's condition is associated with posterior reversible encephalopathy syndrome (PRES). It states the use of...

  • Neurological involvement in a child with atypical hemolytic uremic syndrome. Koehl, Bérengère; Boyer, Olivia; Biebuyck-Gougé, Nathalie; Kossorotoff, Manoelle; Frémeaux-Bacchi, Véronique; Boddaert, Nathalie; Niaudet, Patrick // Pediatric Nephrology;Dec2010, Vol. 25 Issue 12, p2539 

    We report the case of a 4-year-old boy, diagnosed with atypical hemolytic uremic syndrome (HUS) due to a hybrid factor H. He progressed to end-stage renal failure despite plasmatherapy and underwent bilateral nephrectomy because of uncontrolled hypertension. Three days after, he had partial...

  • Eklampsi Ä°liÅŸkili Posterior Reversibl Ensefalopati Sendromu (PRES). Tezcan, Aysu Hayriye; Dilek, Kevser; Bayraktar, Yeşim Şerife; Leblebici, Figen; Yağmurdur, Hatice // Turkish Journal of Medical & Surgical Intensive Care Medicine / ;Apr2014, Vol. 5 Issue 1, p22 

    Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological entity that is characterized by headache, seizure activity, visual changes, and consciousness impairment. Risk factors of PRES include preeclampsia/eclampsia, hypertension, sepsis, organ transplantation, and cytotoxic...

  • Posterior reversible encephalopathy syndrome due to targeted agents: vemurafinib among suspects! Khurana, Arushi; Dasanu, Constantin A. // Journal of Oncology Pharmacy Practice;Dec2015, Vol. 21 Issue 6, p443 

    Posterior reversible encephalopathy syndrome features reversible cortical neurologic dysfunction and characteristic findings on brain imaging studies. This syndrome can be caused by several agents including traditional chemotherapy and immunosuppressive drugs. Targeted therapies such as agents...

  • Posterior reversible encephalopathy syndrome in association with fibromuscular dysplasia: a case report. Guzmán-Astorga, Christian Paul; González-Ibarra, Fernando Pavel; Villarreal-Careaga, Jorge; Beltrán-Nevarez, Octavio; Arce-Sánchez, Hiram Joaquín; Velarde-Félix, Jesús Salvador // Critical Care & Shock;Feb2012, Vol. 15 Issue 1, p17 

    Posterior reversible encephalopathy syndrome is commonly associated with hypertension and hypertensive crisis. Clinical characteristics are headache, visual changes, altered mental status and seizures. There is a strong association with cytotoxic edema, which in most cases involve posterior...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics