Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome
Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome characterized by an altered level of consciousness, headaches, seizure, and visual changes. PRES has several different etiologies, including malignant hypertension, eclampsia, and certain medications. Here, we describe a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2020-02-01
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| Series: | Case Reports in Neurology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/505907 |
| _version_ | 1818294241924743168 |
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| author | Muhammad Taimur Malik Mohammad Faraz Majeed Ramin Zand |
| author_facet | Muhammad Taimur Malik Mohammad Faraz Majeed Ramin Zand |
| author_sort | Muhammad Taimur Malik |
| collection | DOAJ |
| description | Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome characterized by an altered level of consciousness, headaches, seizure, and visual changes. PRES has several different etiologies, including malignant hypertension, eclampsia, and certain medications. Here, we describe a 41-year-old woman who presented with altered mental status. She had a preliminary diagnosis of serotonin syndrome as she was on many different serotonin-sparing agents, but her imaging findings were consistent with PRES. After her medications were reviewed and the causative agent was removed, the patient’s neurological exam and imaging findings improved, and she returned to her baseline. To our knowledge, this is a unique case of PRES caused by serotonin syndrome secondary to venlafaxine usage. |
| first_indexed | 2024-12-13T03:28:38Z |
| format | Article |
| id | doaj.art-595c879ea6dc43ed87f4326c893b8915 |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-13T03:28:38Z |
| publishDate | 2020-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-595c879ea6dc43ed87f4326c893b89152022-12-22T00:01:13ZengKarger PublishersCase Reports in Neurology1662-680X2020-02-01121636810.1159/000505907505907Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy SyndromeMuhammad Taimur MalikMohammad Faraz MajeedRamin ZandPosterior reversible encephalopathy syndrome (PRES) is a neurological syndrome characterized by an altered level of consciousness, headaches, seizure, and visual changes. PRES has several different etiologies, including malignant hypertension, eclampsia, and certain medications. Here, we describe a 41-year-old woman who presented with altered mental status. She had a preliminary diagnosis of serotonin syndrome as she was on many different serotonin-sparing agents, but her imaging findings were consistent with PRES. After her medications were reviewed and the causative agent was removed, the patient’s neurological exam and imaging findings improved, and she returned to her baseline. To our knowledge, this is a unique case of PRES caused by serotonin syndrome secondary to venlafaxine usage.https://www.karger.com/Article/FullText/505907posterior reversible encephalopathy syndromeserotonin syndromevenlafaxinecerebral vasoconstrictionadverse reactions |
| spellingShingle | Muhammad Taimur Malik Mohammad Faraz Majeed Ramin Zand Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome Case Reports in Neurology posterior reversible encephalopathy syndrome serotonin syndrome venlafaxine cerebral vasoconstriction adverse reactions |
| title | Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome |
| title_full | Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome |
| title_fullStr | Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome |
| title_full_unstemmed | Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome |
| title_short | Serotonin Syndrome Presenting as a Posterior Reversible Encephalopathy Syndrome |
| title_sort | serotonin syndrome presenting as a posterior reversible encephalopathy syndrome |
| topic | posterior reversible encephalopathy syndrome serotonin syndrome venlafaxine cerebral vasoconstriction adverse reactions |
| url | https://www.karger.com/Article/FullText/505907 |
| work_keys_str_mv | AT muhammadtaimurmalik serotoninsyndromepresentingasaposteriorreversibleencephalopathysyndrome AT mohammadfarazmajeed serotoninsyndromepresentingasaposteriorreversibleencephalopathysyndrome AT raminzand serotoninsyndromepresentingasaposteriorreversibleencephalopathysyndrome |