A 39-year-old woman with transient convulsions and vision disturbances: a case report.
Pancreatitis
Posterior reversible encephalopathy syndrome
Vision disturbance
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
25 Oct 2024
25 Oct 2024
Historique:
received:
18
10
2023
accepted:
21
08
2024
medline:
25
10
2024
pubmed:
25
10
2024
entrez:
25
10
2024
Statut:
epublish
Résumé
Posterior reversible encephalopathy syndrome is a rare neurological syndrome that refers to reversible subcortical vasogenic brain edema disorder in patients with acute neurological symptoms. Whether there is a direct causal relationship between pancreatitis and posterior reversible encephalopathy syndrome needs further study. We here report a 39-year-old Chinese woman who was diagnosed with pancreatitis followed by vision disturbance. The patient was finally diagnosed with posterior reversible encephalopathy syndrome. On the basis of this rare case, we analyzed the causes of visual disturbance and proposed diagnostic ideas. For posterior reversible encephalopathy syndrome, early identification and treatment of the primary disease are particularly important. Imaging and clinical characteristics in posterior reversible encephalopathy syndrome are usually reversible.
Sections du résumé
BACKGROUND
BACKGROUND
Posterior reversible encephalopathy syndrome is a rare neurological syndrome that refers to reversible subcortical vasogenic brain edema disorder in patients with acute neurological symptoms.
CASE PRESENTATION
METHODS
Whether there is a direct causal relationship between pancreatitis and posterior reversible encephalopathy syndrome needs further study. We here report a 39-year-old Chinese woman who was diagnosed with pancreatitis followed by vision disturbance. The patient was finally diagnosed with posterior reversible encephalopathy syndrome. On the basis of this rare case, we analyzed the causes of visual disturbance and proposed diagnostic ideas.
CONCLUSIONS
CONCLUSIONS
For posterior reversible encephalopathy syndrome, early identification and treatment of the primary disease are particularly important. Imaging and clinical characteristics in posterior reversible encephalopathy syndrome are usually reversible.
Identifiants
pubmed: 39449098
doi: 10.1186/s13256-024-04811-w
pii: 10.1186/s13256-024-04811-w
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
503Subventions
Organisme : Health and Family Planning Commission of Sichuan Province
ID : 21PJ150
Informations de copyright
© 2024. The Author(s).
Références
Fugate JE, Rabinstein AA. Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions. Lancet Neurol. 2015;14(9):914–25. https://doi.org/10.1016/S1474-4422(15)00111-8 . Erratum in: Lancet Neurol. 2015;14(9):914–25.
Magno Pereira V, Marote Correia L, Rodrigues T, Serrão FG. Acute pancreatitis and posterior reversible encephalopathy syndrome: a case report. Acta Med Port. 2016;29(9):567–71. https://doi.org/10.20344/amp.7368 .
doi: 10.20344/amp.7368
pubmed: 28060696
Ali SM, Shaikh NA, Aftab Z, et al. Peripartum severe acute pancreatitis with rare complications: case report and review of literature. Case Rep Surg. 2020;2020:5785413. https://doi.org/10.1155/2020/5785413 .
doi: 10.1155/2020/5785413
pubmed: 32309004
pmcid: 7157796
Murphy T, Al-Sharief K, Sethi V, Ranger GS. Posterior reversible encephalopathy syndrome (PRES) After acute pancreatitis. West J Emerg Med. 2015;16(7):1173–4. https://doi.org/10.5811/westjem.2015.8.28347 .
doi: 10.5811/westjem.2015.8.28347
pubmed: 26759673
pmcid: 4703163
Valdez-López M, Aguirre-Aguilar E, Valdés-Ferrer SI, et al. Posterior reversible encephalopathy syndrome: a neuropsychiatric manifestation of systemic lupus erythematosus. Autoimmun Rev. 2021;20(2): 102739. https://doi.org/10.1016/j.autrev.2020.102739 .
doi: 10.1016/j.autrev.2020.102739
pubmed: 33326853
Liman TG, Bohner G, Heuschmann PU, Endres M, Siebert E. The clinical and radiological spectrum of posterior reversible encephalopathy syndrome: the retrospective Berlin PRES study. J Neurol. 2012;259(1):155–64. https://doi.org/10.1007/s00415-011-6152-4 .
doi: 10.1007/s00415-011-6152-4
pubmed: 21717193
Burnett MM, Hess CP, Roberts JP, Bass NM, Douglas VC, Josephson SA. Presentation of reversible posterior leukoencephalopathy syndrome in patients on calcineurin inhibitors. Clin Neurol Neurosurg. 2010;112(10):886–91. https://doi.org/10.1016/j.clineuro.2010.07.023 .
doi: 10.1016/j.clineuro.2010.07.023
pubmed: 20800343
Mueller-Mang C, Mang T, Pirker A, Klein K, Prchla C, Prayer D. Posterior reversible encephalopathy syndrome: do predisposing risk factors make a difference in MRI appearance? Neuroradiology. 2009;51(6):373–83. https://doi.org/10.1007/s00234-009-0504-0 .
doi: 10.1007/s00234-009-0504-0
pubmed: 19234694
Moon SN, Jeon SJ, Choi SS, et al. Can clinical and MRI findings predict the prognosis of variant and classical type of posterior reversible encephalopathy syndrome (PRES)? Acta Radiol. 2013;54(10):1182–90. https://doi.org/10.1177/0284185113491252 .
doi: 10.1177/0284185113491252
pubmed: 23858507
Datar S, Singh TD, Fugate JE, Mandrekar J, Rabinstein AA, Hocker S. Albuminocytologic dissociation in posterior reversible encephalopathy syndrome. Mayo Clin Proc. 2015;90(10):1366–71. https://doi.org/10.1016/j.mayocp.2015.07.018 .
doi: 10.1016/j.mayocp.2015.07.018
pubmed: 26349950
Ni J, Zhou LX, Hao HL, et al. The clinical and radiological spectrum of posterior reversible encephalopathy syndrome: a retrospective series of 24 patients. J Neuroimaging. 2011;21(3):219–24. https://doi.org/10.1111/j.1552-6569.2010.00497.x .
doi: 10.1111/j.1552-6569.2010.00497.x
pubmed: 20572911