Posterior reversible encephalopathy syndrome following rapid correction of anemia
- Author:
Soonwoong Hong
;
Jin Man Jung
;
Hwa Jung Ryu
;
Do-Young Kwon
;
Moon-Ho Park
- Publication Type:Journal Article
- From:Neurology Asia
2013;18(4):423-425
- CountryMalaysia
- Language:English
-
Abstract:
A 49-year-old woman with anemia who developed headache and seizure after blood transfusion was
diagnosed with posterior reversible encephalopathy syndrome (PRES). Magnetic resonance imaging
showed typical PRES findings including lesions in bilateral parieto-occipital subcortical white matter
and overlying cortex. Only a few cases of PRES after transfusion have been reported and this case is
unique in that there was a latent period between infusion and development of PRES. We postulate that
rapid change of hemoglobin level may disrupt cerebral autoregulation and result in delayed PRES. We
suggest that neurological symptoms after blood transfusion should be appropriately investigated.
- Full text:P020150703545872982791.pdf