Intracerebral hemorrhage developing in a patient with posterior reversible encephalopathy syndrome; a case report

Hatice Güldal¹, Aziz Alper Ayaslı², Alp Kaan Furkan Kıcıroğlu¹, Salih Karakoyun³, Mustafa Boğan³

Keywords: Emergency department, Intracerebral hemorrhage, Posterior reversible encephalopathy syndrome

DOI: 10.32677/yjm.v3i1.4326

DOI URL: https://doi.org/10.32677/yjm.v3i1.4326

Publish Date: 11-05-2024

Download PDF

Pages: 60 - 62

Views: 4

Downloads: 6

Citation: 0

Author Affiliation:

¹Resident, Department of Emergency, School of Medicine, Düzce University
²Specialist, Department of Neurology, Düzce Atatürk State Hospital, Duzce, Turkey
³Consultant, Department of Emergency, School of Medicine, Düzce University

Abstract

We describe a case of hemorrhagic posterior reversible encephalopathy syndrome (PRES) in a 19-year-old woman, who had undergone a cesarean section for epilepsy and lupus-related chronic renal failure 2 months ago, and presented to the emergency department with complaints of blurred vision. The neurological and ophthalmological examinations were normal. Despite the initial imaging being normal, subsequent magnetic resonance images showed hyperintensity in bilateral occipital lobes and cerebellum (indicative of PRES) and watershed ischemia in addition to intracerebral hemorrhage. Brain surgery was performed, external ventricular drainage was placed and she was monitored postoperatively with routine care in the intensive care unit where she remained intubated for a month, after which she died of the consequences of her condition.

---