Posterior reversible encephalopathy syndrome related to anemia correction in a patient with uterine myoma: a case report

被引：2

作者：

Lee, Jisun ^{[1
]}

Lee, Hyun Jung ^{[1
,2
]}

机构：

[1] Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Obstet & Gynecol, Daegu, South Korea

[2] Kyungpook Natl Univ, Kyungpook Natl Univ Hosp, Sch Med, Dept Obstet & Gynecol, 130 Dongdeok Ro, Daegu 41944, South Korea

来源：

JOURNAL OF YEUNGNAM MEDICAL SCIENCE | 2022年 / 39卷 / 04期

关键词：

Anemia; Blood transfusion; Magnetic resonance imaging; Posterior reversible encephalopathy syndrome; LEUKOENCEPHALOPATHY;

D O I：

10.12701/yujm.2021.01375

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although posterior reversible encephalopathy syndrome (PRES) is induced by various causes, a few cases have occurred after severe anemia correction. In this case report, a 45-year-old female patient visited emergency department with a chief complaint of dizziness due to severe anemia related to hypermenorrhea caused by uterine myoma. Before her operation, she had an abrupt headache and seizure during anemia correction with transfusion and injection of gonadotropin-releasing hormone agonist. Immediately after the operation, she experienced visual disturbances, followed by limb weakness and tonic-clonic movements. Magnetic resonance imaging showed alterations in parietal and occipital lobes suggesting cerebrovascular edema with hypoperfusion. Here, we presented and discussed the clinical and radiologic features of PRES related to anemia correction.

引用

页码：336 / 340

页数：5

共 14 条

[1] Posterior reversible encephalopathy syndrome, part 2: Controversies surrounding pathophysiology of vasogenic edema [J].