Document Type
Article
Publication Date
1-1-2009
Abstract
INTRODUCTION: Posterior reversible encephalopathy syndrome is a clinico-neuroradiological entity characterized by headache, vomiting, altered mental status, blurred vision and seizures with neuroimaging studies demonstrating white-gray matter edema involving predominantly the posterior region of the brain. CASE PRESENTATION: We report a 47-year-old Caucasian man with liver cirrhosis who developed posterior reversible encephalopathy syndrome following an upper gastrointestinal hemorrhage and who was managed with induced hypothermia for control of intracranial hypertension and continuous veno-venous hemodiafiltration for severe hyperammonemia. CONCLUSION: We believe this is the first documented case report of posterior reversible encephalopathy syndrome associated with cirrhosis as well as the first report of the use of induced hypothermia and continuous veno-venous hemodiafiltration in this setting.
Recommended Citation
Chawla, Rashmi; Smith, Daniel; and Marik, Paul E, "Near fatal posterior reversible encephalopathy syndrome complicating chronic liver failure and treated by induced hypothermia and dialysis: a case report." (2009). Division of Pulmonary and Critical Care Medicine Faculty Papers. Paper 1.
https://jdc.jefferson.edu/pulmcritcarefp/1
PubMed ID
19830117
Comments
This article has been peer reviewed and is published in BMC Journal of Medical Case Reports 2009, 3:6623. The published version is available at DOI: 10.1186/1752-1947-3-6623. Copyright © BioMed Central Ltd.