A case report of posterior reversible encephalopathysyndrome in a patient diagnosed with emphysematousnecrotizing biliary pancreatitis
Journal Title: BOHR International Journal of Neurology and Neuroscience - Year 2024, Vol 2, Issue 1
Abstract
Posterior reversible encephalopathy syndrome (PRES), a clinical radiological syndrome, is characterized by theabrupt development of neurological symptoms such as headaches, convulsions, altered sensorium, and visualproblems. PRES has been linked to a number of risk factors or etiologies, including the use of immunosuppressantsor cytotoxins, hypertensive encephalopathy, eclampsia, preeclampsia, and underlying autoimmune diseases.A 41-year-old female was admitted with acute necrotizing emphysematous pancreatitis complicated by posteriorreversible encephalopathy syndrome. She remained normotensive on presentation and during the hospital stay.All her investigations were within normal except double-stranded DNA, which came positive. This could explainthe immune-mediated mechanism leading to endothelial dysfunction. This case has been presented for its rarity.When acute neurological abnormalities occur in the context of systemic inflammatory conditions, such as acutepancreatitis, it is crucial to take PRES into account.
Authors and Affiliations
Maryam Nazir Ahmad, Anandi Damodaran, Sarah Muhammad Iftikhar, Devdutt Nayak Kotekar
Diagnostic importance of phenotypic featuresof undifferentiated connective tissue dysplasiain spondylogenic vertebro-basilar insufficiency
Background:The circulatory insufficiency in the vertebrobasilar system is significantly influenced by thespondylogenic mechanism. To understand the degenerative-dystrophic changes in the cervical spine, anassessment of t...
Expect the unexpected–a rare case report of lumbar spinal eumycetoma
Mycetoma, a neglected disease found in tropical and subtropical countries, is a chronic granulomatous inflammatory disease affecting the subcutaneous tissue. The most common site of infection is the limbs, affecting arou...
A case report of posterior reversible encephalopathysyndrome in a patient diagnosed with emphysematousnecrotizing biliary pancreatitis
Posterior reversible encephalopathy syndrome (PRES), a clinical radiological syndrome, is characterized by theabrupt development of neurological symptoms such as headaches, convulsions, altered sensorium, and visualprobl...
Clinical insights and challenges: A rare case report of Leighsyndrome
Leigh syndrome is a severe neurological disorder that impairs mobility and respiration, among other bodilyfunctions. Progressive brain deterioration is what makes it distinctive. This case report describes a 10-month-old...
Endovascular complications: Antiplatelet managementfor flow diversion
Up to 3−5% of the general population is affected by cerebral aneurysms that are associated with both modifiableas well as non-modifiable risk factors ranging from familial to acquired neurovascular conditions. The initia...