Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-

Posterior reversible encephalopathy syndrome (PRES) is an unfamiliar term to anesthesiologists, and this is characterized by neurologic symptoms that include mental change, headache, seizure and visual disturbance and also abnormal neuroimaging finding. A 71-year-old female patient was operated on f...

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Main Authors: Ji Hwan Yi, Sang Hee Ha, Yong Kook Kim, Eun Mi Choi
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2011-05-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-60-369.pdf
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author Ji Hwan Yi
Sang Hee Ha
Yong Kook Kim
Eun Mi Choi
author_facet Ji Hwan Yi
Sang Hee Ha
Yong Kook Kim
Eun Mi Choi
author_sort Ji Hwan Yi
collection DOAJ
description Posterior reversible encephalopathy syndrome (PRES) is an unfamiliar term to anesthesiologists, and this is characterized by neurologic symptoms that include mental change, headache, seizure and visual disturbance and also abnormal neuroimaging finding. A 71-year-old female patient was operated on for posterior decompression and total laminectomy under general anesthesia for the spinal stenosis. After the operation, she developed generalized tonic-clonic seizure and a stuporous mentality in the recovery room. The magnetic resonance imaging (MRI) revealed swelling and increased signal intensity at the deep gray nuclei, cerebral cortex and cerebellum. After one week, she returned to an alert mentality and then she was diagnosed with PRES. She was discharged without any neurologic deficit on postoperative day 20. This report describes our experience with PRES after spinal surgery was performed under general anesthesia on a suspected untreated hypertensive patient.
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spelling doaj.art-633e45c4f85546f1b6bc8fede272aa012022-12-21T19:37:59ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-05-0160536937210.4097/kjae.2011.60.5.3697127Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-Ji Hwan Yi0Sang Hee Ha1Yong Kook Kim2Eun Mi Choi3Department of Anesthesiology and Pain Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.Posterior reversible encephalopathy syndrome (PRES) is an unfamiliar term to anesthesiologists, and this is characterized by neurologic symptoms that include mental change, headache, seizure and visual disturbance and also abnormal neuroimaging finding. A 71-year-old female patient was operated on for posterior decompression and total laminectomy under general anesthesia for the spinal stenosis. After the operation, she developed generalized tonic-clonic seizure and a stuporous mentality in the recovery room. The magnetic resonance imaging (MRI) revealed swelling and increased signal intensity at the deep gray nuclei, cerebral cortex and cerebellum. After one week, she returned to an alert mentality and then she was diagnosed with PRES. She was discharged without any neurologic deficit on postoperative day 20. This report describes our experience with PRES after spinal surgery was performed under general anesthesia on a suspected untreated hypertensive patient.http://ekja.org/upload/pdf/kjae-60-369.pdfbrain edemahypertensionposterior reversible encephalopathy syndrome
spellingShingle Ji Hwan Yi
Sang Hee Ha
Yong Kook Kim
Eun Mi Choi
Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-
Korean Journal of Anesthesiology
brain edema
hypertension
posterior reversible encephalopathy syndrome
title Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-
title_full Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-
title_fullStr Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-
title_full_unstemmed Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-
title_short Posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia -A case report-
title_sort posterior reversible encephalopathy syndrome in an untreated hypertensive patient after spinal surgery under general anesthesia a case report
topic brain edema
hypertension
posterior reversible encephalopathy syndrome
url http://ekja.org/upload/pdf/kjae-60-369.pdf
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AT yongkookkim posteriorreversibleencephalopathysyndromeinanuntreatedhypertensivepatientafterspinalsurgeryundergeneralanesthesiaacasereport
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