J Korean Neurol Assoc.  2014 Nov;32(4):282-284. 10.0000/jkna.2014.32.4.282.

Atypical Posterior Reversible Encephalopathy Syndrome after Cervical Facet Joint Steroid Injection

• Chung JY
• Hur U
• Kim MY
• Choo IS
• Kim HW
• Kim JH
• Ahn SH

• KMID: 2343554
• DOI: http://doi.org/10.0000/jkna.2014.32.4.282

Abstract

Posterior reversible encephalopathy syndrome (PRES) is characterized by headache, altered mental function, seizures, and loss of vision predominantly affecting the bilateral parieto-occipital area. Most cases of PRES are associated with hypertension, or use of immunosuppressants or cytotoxic drugs; associated brainstem and cerebellar lesions are uncommon. We report herein a case of PRES that developed in a patient after injecting a steroid for cervical pain management. The presence of a territorial lesion along the vertebral artery on the same side as the pain-management procedure suggests an association between injectable steroid suspension and PRES.

Keyword

Posterior leukoencephalopathy syndrome; Steroids; Pain management

MeSH Terms

Brain Stem
Headache
Humans
Hypertension
Immunosuppressive Agents
Neck Pain
Pain Management
Posterior Leukoencephalopathy Syndrome*
Seizures
Steroids
Vertebral Artery
Zygapophyseal Joint*
Immunosuppressive Agents
Steroids