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BMC Neurology
Published in: BMC Neurology 1/2018

Open Access 01-12-2018 | Case report

Posterior reversible encephalopathy syndrome in association with exacerbation of chronic obstructive pulmonary disease: a case report

Authors: Sushil Khanal, Subhash Prasad Acharya

Published in: BMC Neurology | Issue 1/2018

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Abstract

Background

Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical and neurological entity. There are varieties of comorbid conditions which are associated with PRES. Chronic obstructive pulmonary disease (COPD) is a rare predisposing factor for the development of PRES.

Case presentation

A 55 year old female who was being treated for acute exacerbation of COPD developed altered sensorium and multiple episodes of seizure. Characteristic imaging findings and associated clinical symptoms led us to a diagnosis of PRES in our patient.

Conclusion

Association of PRES and COPD is a rare entity. The diagnosis of PRES should be brought to mind if there is encephalopathy or seizure in COPD exacerbation.
Literature
1.
Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334:494–500.CrossRef
2.
Chambers KA, Cain TW. Postpartum blindness: two cases. Ann Emerg Med. 2004;43:243–6.CrossRef
3.
Tanaka H, Yamamoto D, Uchiyama T, Ohashi T. Posterior reversible encephalopathy syndrome in a woman with chronic obstructive pulmonary disease. Intern Med. 2017;56(9):1119–20.CrossRef
4.
Dardis C, Craciun R, Schell R. Posterior reversible encephalopathy syndrome in the setting of COPD:proposed pathogenesis. Med Hypotheses. 2013;80:197–200.CrossRef
5.
Ay H, Buonanno FS, Schaefer PW, Le DA, Wang B, Gonzalez RG, Koroshetz WJ. Posterior leukoencephalopathy without severe hypertension: utility of diffusion-weighted MRI. Neurology. 1998;51:1369–76.CrossRef
6.
Bartynski W. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. AJNR Am J Neuroradiol. 2008;29:1036–42.CrossRef
7.
Beausang-Linder M, Bill A. Cerebral circulation in acute arterial hypertension-protective effects of sympathetic nervous activity. Acta Physiol Scand. 1981;111(2):193.CrossRef
8.
Lee VH, Wijdicks EF, Manno EM, Rabinstein AA. Clinical spectrum of reversible posterior leukoencephalopathy syndrome. Arch Neurol. 2008;65(2):205.CrossRef
9.
Roth C, Ferbert A. Posterior reversible encephalopathy syndrome: long-term follow-up. J Neurol Neurosurg Psychiatry. 2010;81(7):773.CrossRef
Metadata
Title
Posterior reversible encephalopathy syndrome in association with exacerbation of chronic obstructive pulmonary disease: a case report
Authors
Sushil Khanal
Subhash Prasad Acharya
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2018
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-018-1188-z

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