Alcohol-related posterior reversible encephalopathy syndrome: a case report of a patient managed with a benzodiazepine-sparing regimen for alcohol withdrawal

被引:0
作者
Chionatos, Rafail A. [1 ]
Lerner, David P. [2 ]
Burns, Joseph D. [1 ,3 ,4 ]
Ramineni, Anil [1 ,3 ]
机构
[1] Tufts Univ, Sch Med, Dept Neurol, Boston, MA 02116 USA
[2] Brookdale Univ Hosp & Med Ctr, Dept Neurol, Brooklyn, NY USA
[3] Lahey Hosp & Med Ctr, Dept Neurol, Burlington, NY USA
[4] Tufts Univ, Sch Med, Dept Neurosurg, Boston, MA USA
关键词
PRES; alcohol withdrawal syndrome; benzodiazepine/barbiturate-sparing regimen; ARPRES (Alcohol-Related PRES); MECHANISMS;
D O I
10.1080/13554794.2024.2346365
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report a case of posterior reversible encephalopathy syndrome (PRES) during treatment for alcohol withdrawal syndrome with gabapentin and clonidine. The patient developed severe hypertension, confusion and tremor, culminating in bilateral vision loss and a seizure. Imaging revealed posterior cerebral edema. Treatment with benzodiazepines, antihypertensives, and anti-seizure medications led to resolution. One year later, imaging showed resolution of the findings. We review the associated literature and propose the recognition of a PRES sub-entity, Alcohol-Related PRES (ARPRES), which can appear in the setting of alcohol withdrawal syndrome, chronic alcohol use, and acute alcohol intoxication, with or without hypertension.
引用
收藏
页码:75 / 80
页数:6
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