Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer

Posterior reversible encephalopathy syndrome (PRES) is an increasingly recognizable neuro-clinical syndrome. Clinical and neurological manifestations of PRES include hypertension, headache, encephalopathy, seizures, and symmetrical white matter changes on brain MRI. Most common precipitants of PRES...

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Main Authors: Mohsin Hamid, Ali Ghani, Ida Micaily, Usman Sarwar, Bilal Lashari, Faizan Malik
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2018-05-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://dx.doi.org/10.1080/20009666.2018.1478563
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author Mohsin Hamid
Ali Ghani
Ida Micaily
Usman Sarwar
Bilal Lashari
Faizan Malik
author_facet Mohsin Hamid
Ali Ghani
Ida Micaily
Usman Sarwar
Bilal Lashari
Faizan Malik
author_sort Mohsin Hamid
collection DOAJ
description Posterior reversible encephalopathy syndrome (PRES) is an increasingly recognizable neuro-clinical syndrome. Clinical and neurological manifestations of PRES include hypertension, headache, encephalopathy, seizures, and symmetrical white matter changes on brain MRI. Most common precipitants of PRES are acute medical illness, hypertensive crisis, eclampsia, immunosuppressive therapy, and chemotherapy. Bevacizumab is a monoclonal antibody that halts angiogenesis by inhibiting vascular endothelial growth factor. It has gained widespread popularity in oncology world especially for metastatic and recurrent cancers due to its inherent ability to stop angiogenesis; a vital step for tumor growth. Bevacizumab has also been implicated as the cause of PRES due to dysregulation of the blood-brain barrier. We are reporting a case of PRES induced by Bevacizumab in a patient of colorectal cancer.
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spelling doaj.art-21ed61afdb0c4d0f91a37fc3d62db17e2023-01-02T22:39:14ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662018-05-018313013310.1080/20009666.2018.14785631478563Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancerMohsin Hamid0Ali Ghani1Ida Micaily2Usman Sarwar3Bilal Lashari4Faizan Malik5Abington Hospital - Jefferson HealthAbington Hospital - Jefferson HealthAbington Hospital - Jefferson HealthAbington Hospital - Jefferson HealthAbington Hospital - Jefferson HealthUniversity of Maryland Medical CenterPosterior reversible encephalopathy syndrome (PRES) is an increasingly recognizable neuro-clinical syndrome. Clinical and neurological manifestations of PRES include hypertension, headache, encephalopathy, seizures, and symmetrical white matter changes on brain MRI. Most common precipitants of PRES are acute medical illness, hypertensive crisis, eclampsia, immunosuppressive therapy, and chemotherapy. Bevacizumab is a monoclonal antibody that halts angiogenesis by inhibiting vascular endothelial growth factor. It has gained widespread popularity in oncology world especially for metastatic and recurrent cancers due to its inherent ability to stop angiogenesis; a vital step for tumor growth. Bevacizumab has also been implicated as the cause of PRES due to dysregulation of the blood-brain barrier. We are reporting a case of PRES induced by Bevacizumab in a patient of colorectal cancer.http://dx.doi.org/10.1080/20009666.2018.1478563PRESRPLSBRESVEGFBevacizumabFOLFOXangiogenesis
spellingShingle Mohsin Hamid
Ali Ghani
Ida Micaily
Usman Sarwar
Bilal Lashari
Faizan Malik
Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer
Journal of Community Hospital Internal Medicine Perspectives
PRES
RPLS
BRES
VEGF
Bevacizumab
FOLFOX
angiogenesis
title Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer
title_full Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer
title_fullStr Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer
title_full_unstemmed Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer
title_short Posterior reversible encephalopathy syndrome (PRES) after bevacizumab therapy for metastatic colorectal cancer
title_sort posterior reversible encephalopathy syndrome pres after bevacizumab therapy for metastatic colorectal cancer
topic PRES
RPLS
BRES
VEGF
Bevacizumab
FOLFOX
angiogenesis
url http://dx.doi.org/10.1080/20009666.2018.1478563
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