EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME: A RARE CASE REPORT

K. Leela Prasad Babu*, S. Parveen, V. Harika, Ravi Lakavath and A. Sasidhar

ABSTRACT

Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by a headache, visual impairment or visual deficits, consciousness impairment, confusion, seizures, and focal neurological impairment. In most of the patients, the clinical features present as increased in blood pressure leads to a hypertensive crisis. This paper presents a rare case of nonpost partum PRES. A 39 years female patient was admitted in female medicine ward with chief complaints of breathlessness, fever, stomach pain, vomiting, headache, giddiness, generalized weakness since 1 month. On examination, her hemoglobin levels were found to be 2.0 gm/dl and diagnosed with dimorphic anemia. After 15 days of admission, she had 3 episodes of generalized tonic-clonic seizures. CT-Brain showed that cerebral edema and MRI done for further evaluation. MRI showed hyperintense lesions in T1 hypo, T2-weighted, and fluid-attenuated inversion recovery (FLAIR) sequences. Fundoscopy showed normal. MRI lesions displaying vascular edema frequently follow a bilateral parieto-occipital pattern. Neurological diagnosing, especially MRI, is the most important diagnostic findings, suggestive of Posterior reversible encephalopathy syndrome (PRES). Symptomatic treatment was given since no specific standard therapy is currently available. Anticonvulsive treatment is frequently required. In conclusion, whenever possible, the abolition of the triggering factor or management of the underlying cause of pathology should be initiated early during the course of the disease.

Keywords: PRES; seizures; MRI; neurological symptoms.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)