Posterior reversible encephalopathy syndrome with thalamic involvement during vasopressor treatment of vertebrobasilar vasospasm after subarachnoid hemorrhage.
J Neurointerv Surg
; 8(11): e45, 2016 Nov.
Article
em En
| MEDLINE
| ID: mdl-26683304
ABSTRACT
Hemodynamic augmentation is the primary medical intervention employed to reverse neurological deficits associated with vasospasm and delayed cerebral ischemia following aneurysmal subarachnoid hemorrhage. Failure to improve despite induced hypertension (IH) may raise concern for persistent hypoperfusion and prompt even more aggressive blood pressure augmentation. However, posterior reversible encephalopathy syndrome (PRES) is a hyperperfusion syndrome reported as a rare complication of IH that may confound this picture. We report a case of PRES with prominent thalamic involvement and impaired level of consciousness secondary to blood pressure augmentation for the treatment of symptomatic vertebrobasilar vasospasm. Recognition of this syndrome in distinction to worsening ischemia is particularly critical, as normalization of blood pressure should lead to rapid clinical improvement.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Hemorragia Subaracnóidea
/
Tálamo
/
Vasoconstritores
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Vasoespasmo Intracraniano
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Síndrome da Leucoencefalopatia Posterior
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Neurointerv Surg
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Estados Unidos