osterior ReversibleEncephalopathy Syndrome after Paralytic Ileus during B-Cell Precursor Acute Lymphoblastic Leukemia Induction Therapy
Journal Title: Journal of Hematology & Thrombosis - Year 2017, Vol 3, Issue 1
Abstract
A 9 year-old boy with B-cell precursor acute lymphoblastic leukemia developed paralytic ileus and severe abdominal pain during the induction therapy. In spite of fentanyl administration, abdominal pain could not be controlled sufficiently. On 31st day, he had convulsion and second convulsion with sudden severe visual impairment on 33rd day, although his blood pressure was controlled within normal limit. Magnetic resonance imaging revealed hyperintensity lesions in the bilateral frontal and occipital lobes on T2-weighted images and he was diagnosed as having posterior reversible encephalopathy syndrome. His visual activity returned along with an improvement of paralytic ileus and colic pain. In addition to the control of blood pressure, the management of paralytic ileus and pain control are important for the prevention and treatment of posterior reversible encephalopathy syndrome.
Authors and Affiliations
Masayuki Nagasawa
Keywords
Related Articles
- EP ID EP246557
- DOI 10.13188/2380-6842.1000020
- Views 168
- Downloads 0
Pregnancy Complicated Cushing Syndrome Secondary to Adrenal Adenoma
We report a case of Cushing syndrome secondary to adrenal adenoma and the fetus showing nonreactive fetal heart rate pattern on non-stress test some days with general movements (GMs) negative. The tumor was confirmed at...
Recombinant Human Soluble Thrombomodulin is Effective for Severe Childhood EBV-HLH
Hemophagocytic lymphohistiocytosis (HLH) is a fatal disease, presenting with T cell-induced dysregulated cytokine production, systemic inflammation, and frequently intractable coagulopathy. We have administered recombina...
osterior ReversibleEncephalopathy Syndrome after Paralytic Ileus during B-Cell Precursor Acute Lymphoblastic Leukemia Induction Therapy
A 9 year-old boy with B-cell precursor acute lymphoblastic leukemia developed paralytic ileus and severe abdominal pain during the induction therapy. In spite of fentanyl administration, abdominal pain could not be contr...
Hypoplasia of Infrarenal Inferior Vena Cava: An Infrequent Cause of Repetitive Deep Vein Thrombosis and its Effects
Congenital anomalies such as the defects of inferior vena cava (IVC) are not common, however these alterations obtained from a poor embryo development benefit venous stasis which, inconsequence, will trigger a deep vein...
Evaluation of Schistocytosis in Patients Treated with Dialysis
Schistocytes are associated with micro angiopathic hemolytic processes. In this retrospective study; we evaluate the association ofschistocytosis in the peripheral blood smear of patients before and after dialysis. We id...