title: Posterior reversible leukoencephalopathy syndrome in hypertensive crisis complicated with seizure.
abstract: This is the case of a 32 year-old-male with chronic kidney disease in hemodialysis who presented with uncontrolled blood pressure after admission to the hospital further complicated with seizures. Head CT-Scan revealed hypodensives areas in sub-cortical white matter and parietal-occipital lobes. Posterior reversible leukoencephalopathy syndrome (PRES) was diagnosed by radiologic findings. The underlying cause of PRES was treated with good resolution of hypodensives areas. Good prognostic outcome of PRES depends on prompt recognition and treatment to avoid excessive morbidity and/or mortality.
authors: Internal Medicine Program, San Juan City Hospital, San Juan, Puerto Rico. s_maldonado@hotmail.com
authors: Sandra N
authors: SN
authors: Maldonado-Rivera
authors: Glorydela
authors: G
authors: Valle-Marín
authors: Mónica
authors: M
authors: Santiago-Casiano
authors: Edinson
authors: E
authors: Camargo
authors: Coromoto
authors: C
authors: Palermo
authors: Trevor
authors: T
authors: Grant
authors: José
authors: J
authors: Hernán Martínez
mesh_terms: D000328:Adult; D001929:Brain Edema / Q000209:etiology; D004630:Emergencies; D015658:HIV Infections / Q000150:complications; D006423:Hemianopsia / Q000209:etiology; D006525:Hepatitis, Viral, Human / Q000150:complications; D006801:Humans; D006973:Hypertension / Q000150:complications*; D018810:Magnetic Resonance Angiography; D008297:Male; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D006435:Renal Dialysis; D012640:Seizures / Q000209:etiology*; D015819:Substance Abuse, Intravenous / Q000150:complications; D014511:Uremia / Q000150:complications* / Q000628:therapy