6533b7d2fe1ef96bd125e10d

RESEARCH PRODUCT

Positive Effect of Steroids in Posterior Reversible Encephalopathy Syndrome

Marco MeyerThomas SteinAndreas ArnoldUlrich NiemöllerStefanie SchmetsdorfCharles Christian AdarkwahAlexander SchusterPatrick SchrammMichael El-sheikChristian Tanislav

subject

medicine.medical_specialtyEncephalopathyPATHOPHYSIOLOGYCase ReportEncephalopathylcsh:RC346-42903 medical and health sciencesTherapeutic approach0302 clinical medicineInternal medicineAphasiamedicineMANAGEMENT030212 general & internal medicinelcsh:Neurology. Diseases of the nervous systemSPECTRUMmedicine.diagnostic_testbusiness.industryMagnetic resonance imagingPosterior reversible encephalopathy syndromeEDEMAmedicine.diseaseBlood pressureHemiparesisPosterior reversible encephalopathy syndromeCardiologyEncephalitisNeurology (clinical)medicine.symptombusiness030217 neurology & neurosurgeryEncephalitis

description

We present a case of posterior reversible encephalopathy syndrome with severe clinical manifestation. Apart from initial aphasia, hemiparesis, and a generalized seizure, the patient had a prolonged loss of consciousness. Although blood pressure was normalized, the clinical status deteriorated continuously. After adding steroids to the therapy, the patient recovered rapidly, suggesting that this could have been a useful therapeutic approach. Even the vasogenic edema in the cerebral magnetic resonance imaging disappeared shortly within 6 days.

10.1159/000500410https://cris.maastrichtuniversity.nl/en/publications/74ed870b-e6ef-4c6a-9e58-bc5479ce2ee9