title: Epinephrine-induced posterior reversible encephalopathy syndrome: a case report.
abstract: Posterior reversible encephalopathy syndrome (PRES) is a rare disorder that is usually associated with hypertensive crises. It is often missed but may be diagnosed by head computed tomographic (CT) scan or magnetic resonance imaging. An adolescent man presented for elective right shoulder arthroscopic bankart repair. Arthroscopy was performed using a solution of normal saline with 3.3 mg/L of epinephrine for irrigation. Postoperatively, the patient presented with hypertension and epileptiform activity. A CT scan of the head showed PRES.
authors.affiliation: Department of Anesthesiology, Staten Island University Hospital, Staten Island, NY 10305, USA. drsimham@gmail.com
authors.forename: Ramez
authors.initials: R
authors.lastname: Gharabawy
authors.forename: Vijayasimha R
authors.initials: VR
authors.lastname: Pothula
authors.forename: Vladimir
authors.initials: V
authors.lastname: Rubinshteyn
authors.forename: Michael
authors.initials: M
authors.lastname: Silverberg
authors.forename: Asaf A
authors.initials: AA
authors.lastname: Gave
mesh_terms: D000328:Adult; D060666:Airway Extubation; D000768:Anesthesia, General; D001182:Arthroscopy; D001265:Athletic Injuries / Q000601:surgery; D001921:Brain / Q000000981:diagnostic imaging; D004827:Epilepsy / Q000139:chemically induced / Q000150:complications; D004837:Epinephrine / Q000009:adverse effects*; D006801:Humans; D006973:Hypertension / Q000139:chemically induced; D007431:Intraoperative Complications / Q000139:chemically induced* / Q000000981:diagnostic imaging; D008297:Male; D054038:Posterior Leukoencephalopathy Syndrome / Q000139:chemically induced* / Q000000981:diagnostic imaging; D012782:Shoulder / Q000601:surgery; D000070599:Shoulder Injuries; D014057:Tomography, X-Ray Computed; D014662:Vasoconstrictor Agents / Q000009:adverse effects*
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine