Atypical Posterior Reversible Encephalopathy Syndrome after Cervical Facet Joint Steroid Injection.
- Author:
Ji Yeon CHUNG
1
;
Uk HUR
;
Man Young KIM
;
In Sung CHOO
;
Hoo Won KIM
;
Jin Ho KIM
;
Seong Hwan AHN
Author Information
1. Department of Neurology, Chosun University School of Medicine, Gwangju, Korea. shahn@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Posterior leukoencephalopathy syndrome;
Steroids;
Pain management
- MeSH:
Brain Stem;
Headache;
Humans;
Hypertension;
Immunosuppressive Agents;
Neck Pain;
Pain Management;
Posterior Leukoencephalopathy Syndrome*;
Seizures;
Steroids;
Vertebral Artery;
Zygapophyseal Joint*
- From:Journal of the Korean Neurological Association
2014;32(4):282-284
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Posterior reversible encephalopathy syndrome (PRES) is characterized by headache, altered mental function, seizures, and loss of vision predominantly affecting the bilateral parieto-occipital area. Most cases of PRES are associated with hypertension, or use of immunosuppressants or cytotoxic drugs; associated brainstem and cerebellar lesions are uncommon. We report herein a case of PRES that developed in a patient after injecting a steroid for cervical pain management. The presence of a territorial lesion along the vertebral artery on the same side as the pain-management procedure suggests an association between injectable steroid suspension and PRES.
