Abstract
Posterior reversible encephalopathy syndrome (PRES) is an acute and severe neurological condition characterized by typical clinical and neuroradiological symptoms. Typical clinic symptoms include headache, confusion, nausea and vomiting, mental and visual alterations. Although PRES is not a complication of spinal anesthesia, it can be commonly confused with dural puncture headache that develops after spinal anesthesia. Our patient was diagnosed with PRES following a dural puncture and spinal anesthesia for cesarean section. PRES is a condition that needs multidisciplinary approach and that can heal without any sequelae.
Keywords: PRES, confusion, spinal anesthesia, dural puncture
References
- Ehtisham S, Hashmi HA. Posterior reversible encephalopathy syndrome. J Coll Physicians Surg Pak 2012;22:398-400.
- Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996;334:494-500.
- Bell AJ. Reversible posterior leukoencephalopathy syndrome: a case presentation. Neurodiagn J 2012;52:20-33.
- Raina S, Mahesh D, Rajendra G, Chauhan NS. Reversible posterior leukoencephalopathy syndrome. J Neurosci Rural Pract 2012;3:222-4.
- Shah R, Kubisz-Pudelko A, Reid J. Posterior reversible encephalopathy syndrome following an inadvertent dural puncture during an emergency laparotomy for ischemic colitis - a case report. Local Reg Anesth 2014;7:1-4.
- Liman TG, Bohner G, Heuschmann PU, Scheel M, Endres M, Siebert E. Clinical and radiological differences in posterior reversible encephalopathy syndrome between patients with preeclampsia-eclampsia and other predisposing diseases. Eur J Neurol 2012;19:935-43.
- Li R, Mitchell P, Dowling R, Yan B. Is hypertension predictive of clinical recurrence in posterior reversible encephalopathy syndrome? J Clin Neurosci 2013;20:248-52.
- Ng MD, Manikappa S. Postpartum seizure and ischaemic stroke following dural puncture and epidural blood patch. Anaesth Intensive Care 2012;40:347-51.
- Erkoç SK, Kayacan Ü, Can A, Çöplüoğlu HE, Tosun A. Atypical Presentation of Posterior Reversible Encephalopathy Syndrome in a Patient Diagnosed with Postpartum Gestational Hypertension. Turk J Anaesthesiol Reanim 2015;43:119-22.
- Feil K, Forbrig R, Thaler FS, Conrad J, Heck S, Dorn F, et al. Reversible cerebral vasoconstriction syndrome and posterior reversible encephalopathy syndrome associated with intracranial hypotension. Neurocrit Care 2017;26:103-8.
- Doherty H, Hameed S, Ahmed I, Russell IF. Post-dural puncture headache and posterior reversible encephalopathy syndrome: a misdiagnosis or co-presentation? Int J Obstet Anesth 2014;23:279-82.
- Postma IR, Slager S, Kremer HP, de Groot JC, Zeeman GG. Long-term consequences of the posterior reversible encephalopathy syndrome in eclampsia and preeclampsia: a review of the obstetric and nonobstetric literature. Obstet Gynecol Surv 2014;69:287-300.
- Siddiqui TS, Irfan-ul-Haq, Rehman B, Kumar M, Iqbal N. Posterior reversible encephalopathy syndrome (PRES). J Coll Physicians Surg Pak 2012;22:168-70.
- Minai FN, Hasan SF, Sheerani M. Post-dural puncture posterior reversible encephalopathy syndrome. J Coll Physicians Surg Pak 2011;21:37-9.
- Şahin N, Jale M, Çelik E, Solak A, Genç B, Kalaycıoğlu S, et al. Atypical Presentation of Posterior Reversible Encephalopathy Syndrome after Post-dural Puncture Headache. Turk J Anaesthesiol Reanim 2013;41:142-5.
Copyright and license
Copyright © 2019 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.