Posterior Reversible Encephalopathy Syndrome on the Operating Room Table After a Robotic Radical Nephrectomy: A Case Report

被引：0

作者：

Srinivasaraghavan, Nivedhyaa ^{[1
]}

Ramakrishnan, Priyadarshini ^{[1
]}

Kumar, K. Vinoth ^{[1
]}

Balakrishnan, Kalpana ^{[2
]}

Krishnamurthy, Shalini Shree ^{[3
]}

Raja, Anand ^{[3
]}

Kumaravel, Velu Prabhakar ^{[4
]}

机构：

[1] Canc Inst WIA, Dept Anesthesia & Crit Care, Room 10,Surg Oncol Block,Sardar Patel Rd, Chennai 600020, Tamil Nadu, India

[2] Canc Inst WIA, Dept Anesthesia Crit Care & Palliat Care, Chennai, Tamil Nadu, India

[3] Canc Inst WIA, Surg Oncol, Chennai, Tamil Nadu, India

[4] CarlVon Ossietzky Univ, Dept Psychol, Neuropsychol Lab, Oldenburg, Germany

来源：

A & A PRACTICE | 2025年 / 19卷 / 01期

关键词：

PRES;

D O I：

10.1213/XAA.0000000000001912

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

An elderly patient with renal cell carcinoma underwent a robotic nephrectomy. After an uneventful intraoperative period, soon after extubation she developed generalized seizures and was diagnosed with posterior reversible encephalopathy syndrome (PRES) on neuroimaging. Management included antiepileptic and antihypertensive therapies, necessitating intensive care and neurorehabilitation. This case is noteworthy as it represents the first reported instance of PRES occurring immediately in the operating room after robotic surgery. PRES was attributed to compromised renal function, chronic hypertension, and the effects of pneumoperitoneum. Early diagnosis, aggressive treatment, and rehabilitation are crucial for the management and recovery of patients with PRES.

引用

页数：4

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