Posterior Reversible Encephalopathy Syndrome and Reversible Cerebral Vasoconstriction Syndrome after Rapid Blood Transfusion

被引:9
作者
Saito, Kazuyuki [1 ]
Shimizu, Yu [1 ]
Higuma, Maya [1 ]
Kubodera, Takayuki [1 ]
Wada, Yoshiaki [1 ]
机构
[1] Nissan Tamagawa Hosp, Dept Neurol, Tokyo, Japan
关键词
posterior reversible encephalopathy syndrome; reversible cerebral vasoconstriction syndrome; blood transfusion; magnetic resonance imaging; hypoalbuminemia; HEPATIC-ENCEPHALOPATHY; SPECTRUM;
D O I
10.2169/internalmedicine.1768-18
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We herein report a case of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS) that occurred immediately after blood transfusion. A 64-year-old Japanese woman was diagnosed with liver cirrhosis due to hepatitis B 2 years ago. She was admitted to our hospital with hemorrhagic shock due to esophageal variceal rupture. She was hospitalized with rapid blood pumping transfusion, after which consciousness disorder appeared, and her blood pressure suddenly increased. Magnetic resonance imaging revealed PRES and RCVS. We speculated that hypoalbuminemia and blood transfusion might have been involved in the development of PRES and RCVS.
引用
收藏
页码:2225 / 2230
页数:6
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