J Korean Soc Emerg Med.  2014 Feb;25(1):120-123.

Posterior Reversible Leukoencephalopathy Syndrome Following Acute Carbon Monoxide Poisoning: A Case Report

• Park EJ
• Min YG
• Jung YS
• Lee S
• Choi SC

Abstract

Posterior reversible leukoencephalopathy syndrome (PRES) is characterized by transient headache, altered mental functioning, seizures, and loss of vision associated with findings of predominantly posterior cerebral lesions on imaging studies. Magnetic resonance imaging typically shows bilateral hyperintensity on T2 weighted imaging and fluid attenuated inversion recovery imaging, predominantly in the parieto-occipital region. The common etiologies of PRES include eclampsia, renal impairment, immunosuppressive treatment, cancer chemotherapy, autoimmune diseases, and hypertension. The prognosis is usually benign when adequate treatment is initiated immediately. Otherwise, delay in diagnosis and treatment may lead to permanent neurological sequelae. We report on the case of a 24-year-old man who presented with the characteristics of PRES with acute carbon monoxide poisoning.

Keyword

Posterior leukoencephalopathy syndrome; Carbon monoxide; Poisoning

MeSH Terms

Autoimmune Diseases
Carbon Monoxide Poisoning*
Carbon Monoxide*
Carbon*
Diagnosis
Drug Therapy
Eclampsia
Female
Headache
Hypertension
Leukoencephalopathies*
Magnetic Resonance Imaging
Poisoning
Posterior Leukoencephalopathy Syndrome
Pregnancy
Prognosis
Seizures
Young Adult
Carbon
Carbon Monoxide