title: [Posterior reversible encephalopathy syndrome due to hypocalcemia: a description of a case and an analysis of a pathogenic role of electrolyte disturbances].
abstract: Afemale patient with recurrent posterior reversible encephalopathy syndrome, severe hypocalcemia due to extirpation of the parathyroid glands is described. The disease was characterized by the acute development of headache, seizures, cognitive and behavioral disorders, mental confusion, transitory blood pressure increasing. The vasogenic edema in the posterior parts of the brain, detected by CT at the first exacerbation,was completely regressed. The residual neurological deficit and MRI changes remained after the recurrent exacerbations. Main clinical features of PRESare explained by hypocalcemia and accompanying electrolyte disturbances.The reported case shows the necessity to study blood electrolytes in patients with PRES to clarify their pathogenic role and the necessity of drug correction.
authors: Neurology Research Center, Moscow, Russia.
authors: L A
authors: LA
authors: Dobrynina
authors: Neurology Research Center, Moscow, Russia.
authors: L A
authors: LA
authors: Kalashnikova
authors: Neurology Research Center, Moscow, Russia.
authors: I S
authors: IS
authors: Bakulin
authors: Neurology Research Center, Moscow, Russia.
authors: E I
authors: EI
authors: Kremneva
authors: Neurology Research Center, Moscow, Russia.
authors: M V
authors: MV
authors: Krotenkova
authors: Neurology Research Center, Moscow, Russia.
authors: K V
authors: KV
authors: Shamtieva
mesh_terms: D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D003221:Confusion / Q000175:diagnosis; D004573:Electrolytes / Q000097:blood; D005260:Female; D006261:Headache / Q000175:diagnosis; D006801:Humans; D006996:Hypocalcemia / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D054038:Posterior Leukoencephalopathy Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D012640:Seizures / Q000175:diagnosis
chemical_list: D004573:Electrolytes