Posterior reversible encephalopathy syndrome: Difference between revisions
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*MRI shows cerebral edema | *MRI shows cerebral edema | ||
==Management== | ==Management== | ||
#Control Blood Pressure | #[[Hypertensive Emergency#Treatment|Control Blood Pressure]] | ||
#Discontinue Immunosupprants | #Discontinue Immunosupprants | ||
==Disposition== | ==Disposition== | ||
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''NB - Cardiac Transplant patients are at high risk, with relative hypertension and on immunosuppressants'' | ''NB - Cardiac Transplant patients are at high risk, with relative hypertension and on immunosuppressants'' | ||
==See Also== | ==See Also== | ||
[[Hypertensive Emergency]] | *[[Hypertensive Emergency]] | ||
[[Eclampsia]] | *[[Eclampsia]] | ||
==External Links== | ==External Links== | ||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 20:21, 23 April 2015
Background
- Newly recognized, described in 1996[1]
- Caused by:
- Hypertensive Encephalopathy
- Immunosuppresion
- Uremia with HTN
Clinical Presentation
- Seizures
- Hypertension
- Encephalopathy/Altered Mental Status
- Visual Disturbances
- Vomiting
- Headache
Differential Diagnosis
- Eclampsia
- Vascular
- Hypertensive Encephalopathy
- CVA
- Intracranial Hemorrhage
- Central Venous Thrombosis
- Infectious
- Metabolic
- Hepatic Encephalopathy
- Hyponatremia
- Porphyria
- Demyelinating Disorders
- Psychiatric disorder
Workup
- Focus on AMS workup, with PRES as diagnosis of exclusion
Diagnosis
- MRI shows cerebral edema
Management
- Control Blood Pressure
- Discontinue Immunosupprants
Disposition
- Admit
NB - Cardiac Transplant patients are at high risk, with relative hypertension and on immunosuppressants
See Also
External Links
References
- ↑ Garg RK (January 2001). "Posterior leukoencephalopathy syndrome". Postgrad Med J 77 (903): 24–8. doi:10.1136/pmj.77.903.24. PMC 1741870. PMID 11123390