Posterior Reversible Encephalopathy Syndrome Following a Scorpion Sting

被引:13
作者
Porcello Marrone, Luiz Carlos [1 ]
Marrone, Bianca Fontana [1 ]
Kalil Neto, Felipe [1 ]
Costa, Francisco Cosme [1 ]
Thome, Gustavo Gomes [1 ]
Aramburu, Martin Brandolt [1 ]
Schilling, Lucas Porcello [1 ]
Pascoal, Tharick Ali [1 ]
Gadonski, Giovani [1 ]
Huf Marrone, Antonio Carlos [1 ]
da Costa, Jaderson Costa [1 ]
机构
[1] Pontificia Univ Catolica Rio Grande do Sul, Hosp Sao Lucas, Inst Cerebro, Dept Neurol, BR-90610000 Porto Alegre, RS, Brazil
关键词
Posterior reversible encephalopathy syndrome (PRES); scorpion sting; seizure; brain MRI; cerebral autoregulation; oedema; Tityus bahiensis; HYPERTENSIVE ENCEPHALOPATHY;
D O I
10.1111/jon.12017
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiologic entity not yet understood, that is present with transient neurologic symptoms and particular radiological findings. The most common imaging pattern in PRES is the presence of edema in the white matter of the posterior portions of both cerebral hemispheres. The cause of PRES is unclear. We report a case of 13-year-old male who was stung by a scorpion and developed a severe headche, visual disturbance, and seizures and had the diagnosis of PRES with a good outcome. Numerous factors can trigger this syndrome, most commonly: acute elevation of blood pressure, abnormal renal function, and immunosuppressive therapy. There are many cases described showing the relationship between PRES and eclampsia, transplantation, neoplasia and chemotherapy treatment, systemic infections, renal disease acute, or chronic. However, this is the first case of PRES following a scorpion sting.
引用
收藏
页码:535 / 536
页数:2
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