Phenylephrine Induced Posterior Reversible Encephalopathy Syndrome during Resection of Solitary Pulmonary Nodule
| Autor: | Soon Ho Hong, Yun Kyung Park, Bora Yoon, Kee Ook Lee, Yong-Duk Kim, Sang-Jun Na |
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| Jazyk: | English<br />Korean |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Journal of Neurocritical Care, Vol 10, Iss 1, Pp 32-35 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2005-0348 2508-1349 |
| DOI: | 10.18700/jnc.170005 |
| Popis: | Background Posterior reversible encephalopathy syndrome (PRES) is a neurological complication caused by cerebral hyperperfusion. Case Report A 46-year-old male presented with decreased mental status, left facial palsy, and left-sided weakness after video-assisted thoracoscopic surgery for a solitary pulmonary nodule. During the surgery, phenylephrine was infused intravenously for general anesthesia-induced hypotension. High signal intensity at the right parietooccipital lobe was noted on fluid-attenuated inversion recovering imaging and diffusion-weighted imaging. His neurological symptoms improved two days after initial presentation. Follow-up diffusion-weighted imaging showed resolution of the brain lesions 10 days after the surgery. Conclusions We report a patient who presented with PRES after administration of phenylephrine during resection of a solitary pulmonary nodule. PRES should be considered for patients presented with acute neurologic symptoms following surgical procedures. |
| Databáze: | Directory of Open Access Journals |
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