Posterior reversible leukoencephalopathy syndrome in hypertensive crisis complicated with seizure
Maldonado-Rivera, S.N.; Valle-Marín, G.; Santiago-Casiano, Mónica.; Camargo, E.; Palermo, C.; Grant, T.; Hernán Martínez, Jé.
Boletin de la Asociacion Medica de Puerto Rico 103(2): 55-58
2011
ISSN/ISBN: 0004-4849 PMID: 22111472 Document Number: 702553
This is the case of a 32 year-old-male with chronic kidney disease in hemodialysis who presented with uncontrolled blood pressure after admission to the hospital further complicated with seizures. Head CT-Scan revealed hypodensives areas in sub-cortical white matter and parietal-occipital lobes. Posterior reversible leukoencephalopathy syndrome (PRES) was diagnosed by radiologic findings. The underlying cause of PRES was treated with good resolution of hypodensives areas. Good prognostic outcome of PRES depends on prompt recognition and treatment to avoid excessive morbidity and/or mortality.