Posterior reversible encephalopathy syndrome (PRES), is a group of disorders which may present with headache, seizures, visual changes, altered mental status or focal neurological deficits. Many different conditions and diseases, which include tacrolimus treatment, may cause this syndrome. We present a 55 year old woman presented with PRES possibly due to tacrolimus treatment for liver transplantation. The patient stabilized after tacrolimus dose was decreased, and antihypertensive and antiepileptic treatments were started. PRES is one of the neurological complications developing after solid organ transplantation. Early diagnosis and treatment is important for the patient's life as these patients are immunsuppressive and prone to many complications of transplantation. Here we present a case of PRES, possibly due to tacrolimus use after a living donor liver transplantation and discuss briefly the possible mechanisms of PRES.
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Washington Univ, Sch Med, Div Hosp Med, Campus Box 8058,660 South Euclid Ave, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Hosp Med, Campus Box 8058,660 South Euclid Ave, St Louis, MO 63110 USA
Johnson, Eric K.
Lin, Michael Y.
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Washington Univ, Sch Med, Div Hosp Med, Campus Box 8058,660 South Euclid Ave, St Louis, MO 63110 USAWashington Univ, Sch Med, Div Hosp Med, Campus Box 8058,660 South Euclid Ave, St Louis, MO 63110 USA
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Hosp JM Cullen, Dept Internal Med, Rheumatol Sect, RA-3000 Santa Fe, ArgentinaHosp JM Cullen, Dept Internal Med, Rheumatol Sect, RA-3000 Santa Fe, Argentina
Ortiz, Alberto
Roverano, Susana
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Hosp JM Cullen, Dept Internal Med, Rheumatol Sect, RA-3000 Santa Fe, ArgentinaHosp JM Cullen, Dept Internal Med, Rheumatol Sect, RA-3000 Santa Fe, Argentina
Roverano, Susana
Paira, Sergio
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Hosp JM Cullen, Dept Internal Med, Rheumatol Sect, RA-3000 Santa Fe, ArgentinaHosp JM Cullen, Dept Internal Med, Rheumatol Sect, RA-3000 Santa Fe, Argentina
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Department of Medicine, Bankura Sammilani Medical College, 1Midnapore Medical College, BankuraDepartment of Medicine, Bankura Sammilani Medical College, 1Midnapore Medical College, Bankura
Mandal Sanjay K.
Chakraborty Partha P.
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Department of Medicine, Bankura Sammilani Medical College, 1Midnapore Medical College, Bankura
House No. B.E 64, Dist. MidnaporeDepartment of Medicine, Bankura Sammilani Medical College, 1Midnapore Medical College, Bankura
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Charite Univ Med Berlin, Ctr Stroke Res Berlin CSB, D-10117 Berlin, Germany
Charite Univ Med Berlin, Dept Neurol Expt Neurol, Berlin, Germany
Ger German Ctr Cardiovasc Res DZHK, Berlin, GermanyCharite Univ Med Berlin, Ctr Stroke Res Berlin CSB, D-10117 Berlin, Germany
Liman, Thomas G.
Siebert, Eberhard
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Charite Univ Med Berlin, Inst Neuroradiol, Berlin, GermanyCharite Univ Med Berlin, Ctr Stroke Res Berlin CSB, D-10117 Berlin, Germany
Siebert, Eberhard
Endres, Matthias
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Charite Univ Med Berlin, Ctr Stroke Res Berlin CSB, D-10117 Berlin, Germany
Charite Univ Med Berlin, Dept Neurol Expt Neurol, Berlin, Germany
Ger German Ctr Cardiovasc Res DZHK, Berlin, Germany
German Ctr Neurodegenerat Dis DZNE, Berlin, Germany
Berlin Inst Hlth, Berlin, GermanyCharite Univ Med Berlin, Ctr Stroke Res Berlin CSB, D-10117 Berlin, Germany