A case of posterior reversible encephalopathy syndrome in a patient undergoing automated peritoneal dialysis.
Hypertension
Peritoneal dialysis
Posterior reversible encephalopathy syndrome
Renal impairment
Journal
CEN case reports
ISSN: 2192-4449
Titre abrégé: CEN Case Rep
Pays: Japan
ID NLM: 101636244
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
04
10
2018
accepted:
18
02
2019
pubmed:
5
3
2019
medline:
24
4
2020
entrez:
5
3
2019
Statut:
ppublish
Résumé
A 44-year-old man undergoing automated peritoneal dialysis (PD) developed headache and dizziness with truncal ataxia and ataxic gait. Severe hypertension (systolic blood pressure/diastolic pressure: 193/83 mm Hg) and lower extremity edema were present, and his PD efficiency (weekly KT/V: 1.49) was inadequate. Magnetic resonance imaging revealed diffuse hyperintensities in the brain stem and bilateral cerebellar hemispheres on fluid-attenuated inversion recovery and apparent diffusion coefficient mapping imaging. Based on these findings, the patient was diagnosed with posterior reversible encephalopathy syndrome due to hypertension and uremia. He was treated with antihypertensive agents, and we changed the PD prescription to improve PD efficiency. Thereafter, his symptoms gradually improved, and abnormal findings on brain magnetic resonance imaging disappeared in accordance with lowering blood pressure.
Identifiants
pubmed: 30830671
doi: 10.1007/s13730-019-00389-1
pii: 10.1007/s13730-019-00389-1
pmc: PMC6620221
doi:
Substances chimiques
Antihypertensive Agents
0
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
178-182Références
J Neuroimaging. 2011 Jul;21(3):219-24
pubmed: 20572911
Perit Dial Int. 2002 May-Jun;22(3):411-4
pubmed: 12227402
Am J Kidney Dis. 2004 Jul;44(1):132-45
pubmed: 15211446
Am J Kidney Dis. 1989 Apr;13(4):336-9
pubmed: 2650541
Clin Exp Nephrol. 2010 Dec;14(6):633-6
pubmed: 21072675
AJNR Am J Neuroradiol. 2002 Jun-Jul;23(6):1038-48
pubmed: 12063238
Nefrologia. 2018 Mar - Apr;38(2):136-140
pubmed: 29409679
Perit Dial Int. 2012 Nov-Dec;32(6):587-9
pubmed: 23212857
Arch Neurol. 2008 Feb;65(2):205-10
pubmed: 18268188
AJR Am J Roentgenol. 1992 Aug;159(2):379-83
pubmed: 1632361
Mayo Clin Proc. 2010 May;85(5):427-32
pubmed: 20435835
J Neurol. 2012 Jan;259(1):155-64
pubmed: 21717193
N Engl J Med. 1996 Feb 22;334(8):494-500
pubmed: 8559202
Neurol Med Chir (Tokyo). 2004 May;44(5):225-32; discussion 233
pubmed: 15200056
AJNR Am J Neuroradiol. 2006 Nov-Dec;27(10):2179-90
pubmed: 17110690
Turk J Pediatr. 2010 Jul-Aug;52(4):416-9
pubmed: 21043390
J Neurol. 2017 Aug;264(8):1608-1616
pubmed: 28054130
Pract Neurol. 2011 Jun;11(3):136-44
pubmed: 21551107
BMC Nephrol. 2014 Jan 13;15:10
pubmed: 24411012