Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma
Background: Posterior reversible encephalopathy syndrome (PRES) is a neuroradiological syndrome characterized by headache, altered mental status, visual disturbance, and seizures with diagnostic MRI features, especially in the territories of posterior circulation. Reversibility of clinical and radio...
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The Korean Neurocritical Care Society
2014-12-01
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| Series: | Journal of Neurocritical Care |
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| Online Access: | http://www.e-jnc.org/upload/pdf/jnc-7-2-141.pdf |
| _version_ | 1819127842208743424 |
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| author | Yu Jin Jung Youngnam Kwon Sung Hyuk Heo Kyoung Jin Hwang Dae-Il Chang |
| author_facet | Yu Jin Jung Youngnam Kwon Sung Hyuk Heo Kyoung Jin Hwang Dae-Il Chang |
| author_sort | Yu Jin Jung |
| collection | DOAJ |
| description | Background: Posterior reversible encephalopathy syndrome (PRES) is a neuroradiological syndrome characterized by headache, altered mental status, visual disturbance, and seizures with diagnostic MRI features, especially in the territories of posterior circulation. Reversibility of clinical and radiologic findings is generally regarded as a defining feature of PRES. Case Report: A 72-year old man who had a history of hypertension presented with subacute and progressive visual disturbance, dizziness, limb ataxia, and finally non-convulsive status epilepticus. Magnetic resonance imaging (MRI) showed extensive lesions in bilateral parieto-occipital cortex and subcortex. Due to his marked fluctuation of blood pressure, we detected a pheochromocytoma of left adrenal gland. In spite of administration with several types of antihypertensive medication, the patient presented with clinical deterioration, leading to death. MRI demonstrated the progression of lesions. Conclusion: This case report highlights the clinical and radiological progression of posterior encephalopathy syndrome caused by pheochromocytoma despite appropriate treatment of blood pressure. |
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| format | Article |
| id | doaj.art-31ac434e49e5449db5230cc076a1c10c |
| institution | Directory Open Access Journal |
| issn | 2005-0348 |
| language | English |
| last_indexed | 2024-12-22T08:18:21Z |
| publishDate | 2014-12-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj.art-31ac434e49e5449db5230cc076a1c10c2022-12-21T18:32:49ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482014-12-017214114410.18700/jnc.2014.7.2.141139Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with PheochromocytomaYu Jin Jung0Youngnam Kwon1Sung Hyuk Heo2Kyoung Jin Hwang3Dae-Il Chang4 Department of Neurology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea Department of Neurology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea Department of Neurology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea Department of Neurology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea Department of Neurology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, KoreaBackground: Posterior reversible encephalopathy syndrome (PRES) is a neuroradiological syndrome characterized by headache, altered mental status, visual disturbance, and seizures with diagnostic MRI features, especially in the territories of posterior circulation. Reversibility of clinical and radiologic findings is generally regarded as a defining feature of PRES. Case Report: A 72-year old man who had a history of hypertension presented with subacute and progressive visual disturbance, dizziness, limb ataxia, and finally non-convulsive status epilepticus. Magnetic resonance imaging (MRI) showed extensive lesions in bilateral parieto-occipital cortex and subcortex. Due to his marked fluctuation of blood pressure, we detected a pheochromocytoma of left adrenal gland. In spite of administration with several types of antihypertensive medication, the patient presented with clinical deterioration, leading to death. MRI demonstrated the progression of lesions. Conclusion: This case report highlights the clinical and radiological progression of posterior encephalopathy syndrome caused by pheochromocytoma despite appropriate treatment of blood pressure.http://www.e-jnc.org/upload/pdf/jnc-7-2-141.pdfHypertensive encephalopathyPheochromocytomaStatus epilepticus |
| spellingShingle | Yu Jin Jung Youngnam Kwon Sung Hyuk Heo Kyoung Jin Hwang Dae-Il Chang Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma Journal of Neurocritical Care Hypertensive encephalopathy Pheochromocytoma Status epilepticus |
| title | Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma |
| title_full | Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma |
| title_fullStr | Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma |
| title_full_unstemmed | Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma |
| title_short | Progressive Posterior Encephalopathy Syndrome Related with Drug-refractory Hypertension in a Patient with Pheochromocytoma |
| title_sort | progressive posterior encephalopathy syndrome related with drug refractory hypertension in a patient with pheochromocytoma |
| topic | Hypertensive encephalopathy Pheochromocytoma Status epilepticus |
| url | http://www.e-jnc.org/upload/pdf/jnc-7-2-141.pdf |
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