ArticleInternational medical case reports journal2016
An unusual case of posterior reversible encephalopathy syndrome in a patient being weaned from intrathecal morphine.
Article in International medical case reports journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 5 citations in OpenAlex.
- Methadone-induced encephalopathy: a case series and literature review.BMC medical imaging · 2020Review
- Delayed Posterior Reversible Leukoencephalopathy Syndrome Triggered by FLOT Chemotherapy.Frontiers in neurology · 2019Article
- An Uncommon Cause of Posterior Reversible Encephalopathy Syndrome Related to Antibiotic Ingestion.Cureus · 2018Article
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Authors and funding
4 authors at 2 institutions in 2 countries.
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Abstract
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological entity based on clinical signs, including headache, visual abnormalities, and seizures, and radiological abnormalities mostly consisting of vasogenic brain edema predominantly in the posterior parietal-temporal-occipital regions. PRES typically develops in the setting of a significant " systemic process", including preeclampsia, transplantation, infection/sepsis/shock, autoimmune disease, and cancer chemotherapy, in which hypertension often plays an important role. We present a case of PRES in a 63-year-old female patient with an infected intrathecal morphine pump on a cocktail of antibiotics, morphine, clonidine, diazepam, and amitriptyline. It is the first PRES case in a chronic pain patient, which illustrates that PRES can occur in the absence of any of the established risk factors. We hypothesize it may have been caused by antibiotic treatment in our patient.
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