First description of posterior reversible encephalopathy syndrome as a complication of glycerolnitrate patch following open cardiac surgery
| Autor: | G. Wendt, G. Dooms, B. Huch, A.L. Kühn, D. W. Droste |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Cortical blindness business.industry Posterior reversible encephalopathy syndrome General Medicine medicine.disease Cardiac surgery Pericarditis medicine.anatomical_structure Neurology Anesthesia Mitral valve medicine Neurology (clinical) Epileptic seizure medicine.symptom Complication business Occipital lobe |
| Zdroj: | Acta Neurologica Scandinavica. 124:218-220 |
| ISSN: | 0001-6314 |
| DOI: | 10.1111/j.1600-0404.2010.01445.x |
| Popis: | Kuhn AL, Huch B, Wendt G, Dooms G, Droste DW. First description of posterior reversible encephalopathy syndrome as a complication of glycerolnitrate patch following open cardiac surgery. Acta Neurol Scand: 2011: 124: 218–220. © 2010 John Wiley & Sons A/S. Background– Posterior reversible encephalopathy syndrome (PRES) affects predominantly the parietal and occipital lobes. Frequent clinical features are epileptic seizure, altered mental status and visual disturbances. Clinical Presentation – We present the first case of a patient with pericarditis and mitral valve insufficiency, who developed PRES after application of a glycerolnitrate patch day three post-operatively and whose neurological deficits improved within 2 days after withdrawal of patch therapy. Conclusion – The precise pathomechanism of PRES is unknown. The lower sympathetic innervation of the posterior circulation may be one explanation for its particular vulnerability to vasodilatation caused by glycerolnitrate. |
| Databáze: | OpenAIRE |
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