title: Posterior reversible encephalopathy syndrome with documented hyponatraemia.
abstract: We present a case of a 78-year-old African-American man with a history of hypertension, and with no prior history of seizure. The patient presented with hypertensive urgency as well as stroke such as symptoms of confusion, seizure, postictal confusion, left hemianopsia and hyponatraemia. MRI findings were suggestive of posterior reversible encephalopathy syndrome (PRES). The patient was treated with appropriate medications with the resolution of his stroke-like symptoms. This case report discusses a patient with PRES, in the setting of hyponatraemia, and how prompt recognition may prevent permanent neurological sequela such as epilepsy.
authors.affiliation: Department of Internal Medicine, Georgia Health Sciences University, Augusta, Georgia, USA.
authors.forename: Puneet
authors.initials: P
authors.lastname: Aulakh
authors.forename: Eduard
authors.initials: E
authors.lastname: Fatakhov
authors.forename: Christopher Francis
authors.initials: CF
authors.lastname: Koch
authors.forename: Shikha
authors.initials: S
authors.lastname: Kapil
mesh_terms: D000368:Aged; D006801:Humans; D007010:Hyponatremia / Q000150:complications*; D008297:Male; D054038:Posterior Leukoencephalopathy Syndrome / Q000150:complications*
references.citation: Ann Pharmacother. 2002 Oct;36(10):1558-63
references.pmid: 12243606
references.citation: J Headache Pain. 2010 Oct;11(5):437-40
references.pmid: 20517704
references.citation: J Hum Hypertens. 2004 Apr;18(4):287-9
references.pmid: 15037879
references.citation: Arch Neurol. 2008 Feb;65(2):205-10
references.pmid: 18268188
references.citation: J Stroke Cerebrovasc Dis. 2012 May;21(4):254-8
references.pmid: 21536456
references.citation: Mayo Clin Proc. 2010 May;85(5):427-32
references.pmid: 20435835
references.citation: N Engl J Med. 1996 Feb 22;334(8):494-500
references.pmid: 8559202
references.citation: Am J Nurs. 2012 May;112(5):36-40; quiz 41-2
references.pmid: 22546734
references.citation: J Emerg Trauma Shock. 2012 Apr;5(2):193-5
references.pmid: 22787354