Posterior reversible encephalopathy syndrome related to anemia correction in a patient with uterine myoma: a case report
Open Access
- 23 September 2021
- journal article
- research article
- Published by Yeungnam University College of Medicine in Journal of Yeungnam Medical Science
- Vol. 39 (4), 336-340
- https://doi.org/10.12701/yujm.2021.01375
Abstract
Although posterior reversible encephalopathy syndrome (PRES) is induced by various causes, a few cases have occurred after severe anemia correction. In this case report, a 45-year-old female patient visited emergency department with a chief complaint of dizziness due to severe anemia related to hypermenorrhea caused by uterine myoma. Before her operation, she had an abrupt headache and seizure during anemia correction with transfusion and injection of gonadotropin-releasing hormone agonist. Immediately after the operation, she experienced visual disturbances, followed by limb weakness and tonic-clonic movements. Magnetic resonance imaging showed alterations in parietal and occipital lobes suggesting cerebrovascular edema with hypoperfusion. Here, we presented and discussed the clinical and radiologic features of PRES related to anemia correction.Keywords
This publication has 14 references indexed in Scilit:
- Posterior reversible encephalopathy syndrome secondary to blood transfusionJournal of Clinical Neuroscience, 2015
- Mechanisms of Estrogen Effects on the Endothelium: An OverviewCanadian Journal of Cardiology, 2014
- Prevalence, symptoms and management of uterine fibroids: an international internet-based survey of 21,746 womenBMC Women's Health, 2012
- The Hyperintense Acute Reperfusion Marker on Fluid-Attenuated Inversion Recovery Magnetic Resonance Imaging Is Caused by Gadolinium in the Cerebrospinal FluidStroke, 2012
- Posterior Reversible Encephalopathy Syndrome, Part 2: Controversies Surrounding Pathophysiology of Vasogenic EdemaAmerican Journal of Neuroradiology, 2008
- Catheter Angiography, MR Angiography, and MR Perfusion in Posterior Reversible Encephalopathy SyndromeAmerican Journal of Neuroradiology, 2007
- Posterior Reversible Encephalopathy Syndrome: Incidence of Atypical Regions of Involvement and Imaging FindingsAmerican Journal of Roentgenology, 2007
- Reversible Posterior Leukoencephalopathy in Patients with Systemic Lupus ErythematosusSeminars in Arthritis and Rheumatism, 2006
- Quantitative Assessment of Diffusion Abnormalities in Posterior Reversible Encephalopathy Syndrome2001
- A Reversible Posterior Leukoencephalopathy SyndromeThe New England Journal of Medicine, 1996