Phenylephrine Induced Posterior Reversible Encephalopathy Syndrome during Resection of Solitary Pulmonary Nodule
- Author:
Soon Ho HONG
1
;
Yun Kyung PARK
;
Bora YOON
;
Kee Ook LEE
;
Yong Duk KIM
;
Sang Jun NA
Author Information
- Publication Type:Case Report
- Keywords: Posterior reversible encephalopathy syndrome; Phenylephrine; Hypertension
- MeSH: Brain; Facial Paralysis; Follow-Up Studies; Humans; Hypertension; Hypotension; Male; Middle Aged; Neurologic Manifestations; Phenylephrine; Posterior Leukoencephalopathy Syndrome; Solitary Pulmonary Nodule; Thoracic Surgery, Video-Assisted
- From: Journal of Neurocritical Care 2017;10(1):32-35
- CountryRepublic of Korea
- Language:Korean
- Abstract: BACKGROUND: Posterior reversible encephalopathy syndrome (PRES) is a neurological complication caused by cerebral hyperperfusion. CASE REPORT: A 46-year-old male presented with decreased mental status, left facial palsy, and left-sided weakness after video-assisted thoracoscopic surgery for a solitary pulmonary nodule. During the surgery, phenylephrine was infused intravenously for general anesthesia-induced hypotension. High signal intensity at the right parietooccipital lobe was noted on fluid-attenuated inversion recovering imaging and diffusion-weighted imaging. His neurological symptoms improved two days after initial presentation. Follow-up diffusion-weighted imaging showed resolution of the brain lesions 10 days after the surgery. CONCLUSIONS: We report a patient who presented with PRES after administration of phenylephrine during resection of a solitary pulmonary nodule. PRES should be considered for patients presented with acute neurologic symptoms following surgical procedures.
