First description of posterior reversible encephalopathy syndrome as a complication of glycerolnitrate patch following open cardiac surgery.
Acta Neurol Scand
; 124(3): 218-20, 2011 Sep.
Article
en En
| MEDLINE
| ID: mdl-21595634
BACKGROUND: Posterior reversible encephalopathy syndrome (PRES) affects predominantly the parietal and occipital lobes. Frequent clinical features are epileptic seizure, altered mental status and visual disturbances. CLINICAL PRESENTATION: We present the first case of a patient with pericarditis and mitral valve insufficiency, who developed PRES after application of a glycerolnitrate patch day three post-operatively and whose neurological deficits improved within 2 days after withdrawal of patch therapy. CONCLUSION: The precise pathomechanism of PRES is unknown. The lower sympathetic innervation of the posterior circulation may be one explanation for its particular vulnerability to vasodilatation caused by glycerolnitrate.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Nitroglicerina
/
Ceguera Cortical
/
Infarto Encefálico
/
Síndrome de Leucoencefalopatía Posterior
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Acta Neurol Scand
Año:
2011
Tipo del documento:
Article
Pais de publicación:
Dinamarca