Acute Crit Care.  2018 Nov;33(4):282-285. 10.4266/acc.2018.00262.

Posterior Reversible Encephalopathy Syndrome after Hypovolemic Shock Which Is Required Differential Diagnosis with Delirium in the Intensive Care Unit

• Lee SI
• Choi GS
• Park J
• Lee YJ
• Hong KS

• KMID: 2441249
• DOI: http://doi.org/10.4266/acc.2018.00262

Abstract

No abstract available.

MeSH Terms

Critical Care*
Delirium*
Diagnosis, Differential*
Hypovolemia*
Intensive Care Units*
Posterior Leukoencephalopathy Syndrome*
Shock*

Figure

• 

  Figure 1. Changes of blood pressure (BP) over time. (A) BP fluctuation at the emergency department (ED). Patient showed the drastic fluctuation of BP. (B) BP changes during intensive care unit (ICU) admission. Patient showed relatively high BP from the hospital day (HD) 2 and posterior reversible encephalopathy syndrome related symptoms were identified from HD 6. SBP: systolic blood pressure; DBP: diastolic blood pressure.

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  Figure 2. Magnetic resonance imaging (MRI) of patient with posterior reversible encephalopathy syndrome. (A) MRI on the time of diagnosis showed the typically hyperintense bilateral lesions. A pathological white matter lesion in the occipital, posterior parietal, and posterior temporal lobes was observed on T2-weighted and fluid-attenuated inversion recovery MRI. (B) Diffusion-weighted imaging of MRI on hospital day 9 showed no pathologic lesions. (C) All vasogenic edematous lesions were resolved on MRI followed-up after 77 days.

Reference

References

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