Kronik Böbrek Yetmezliği Olan Hipertansif Hastada Posterior Reversible Ensefalopati Sendromu: Olgu Sunumu

Öz

Posterior reversibl ensefalopati sendromu klinik nöroradyolojik bir sendrom olup, T2 ağırlıklı manyetik rezonans görüntülemede bilateral pariyetooksipital loblarda simetrik yüksek sinyal yoğunluğu lezyonları ile karakterizedir. Bizim olgumuzda ani görme kaybı şikayeti ile başvuran hipertansiyon ve kronik böbrek yetmezliği olan periton diyalizi tedavisi alan ve posterior reversibl ensefalopati sendromu PRES gelişen 36 yaşında kadın hasta sunulmuştur. Acil hekimleri hipertansiyon ile ilişkili nörolojik semptomları olan özellikle kronik böbrek yetmezliği hastalarında hipertansif acil durumlar hakkında dikkatli olmalı ve eşlik edebilecek uç organ hasarlarını akılda bulundurmalıdır

Anahtar Kelimeler

• Posterior reversible ensefalopati sendromu, Kronik böbrek yetmezliği, Hipertansiyon

Posterior Reversible Encephalopathy Syndrome in a Hypertensive Chronic Renal Failure Patient: Case Report

Abstract

Posterior reversible encephalopathy syndrome is a cliniconeuroradiologic syndrome characterized by symmetrical high-signal intensity lesions in bilateral parietooccipital lobes on T2-weighted magnetic resonance imaging. In this case presentation, we discuss a 36-year-old female with hypertensive chronic renal failure treated by peritoneal dialysis who presented to our emergency department with the complaint of visual loss. Emergency physicians should be aware of end organ damage in patients with neurological symptoms related to hypertension and this is especially important in patients with chronic renal failure and hypertension

Keywords

• Posterior reversible encephalopathy syndrome, Chronic renal failure, Hypertension

References

1. Yetkin MF, Salt O, Durukan P, Erdogan FF, Ozkan S. A rare entity in ED: Posterior reversible encephalopathy syndrome. American Journal of Emergency Medicine 2012;30(9):2099.e1-3.
2. Graham BR, Pylypchuk GB. Posterior reversible encephalopathy an adult patient undergoing peritoneal case report and literature review. BMC Nephrology 2014; 15:10.
3. Pula JH, Eggenberger E. Posterior reversible encephalopathy syndrome. Current Opinion in Ophthalmology 2008;19(6):479-84.
4. Kute VB, Trivedi HL, Shah PR, Gumber MR, Patel HV, Vanikar AV. Posterior reversible encephalopathy syndrome-an under recognized manifestation of chronic kidney disease. Indian J Crit Care Med 2013;17(5):318- 20.
5. Fekse SK. Posterior reversible encephalopathy syndrome: A review. Semin Neurol 2011;31;202-15.