Phenylephrine Induced Posterior Reversible Encephalopathy Syndrome during Resection of Solitary Pulmonary Nodule
Journal of Neurocritical Care
;
(2): 32-35, 2017.
Article
in Korean
| WPRIM
| ID: wpr-765871
ABSTRACT
BACKGROUND:
Posterior reversible encephalopathy syndrome (PRES) is a neurological complication caused by cerebral hyperperfusion. CASE REPORT A 46-year-old male presented with decreased mental status, left facial palsy, and left-sided weakness after video-assisted thoracoscopic surgery for a solitary pulmonary nodule. During the surgery, phenylephrine was infused intravenously for general anesthesia-induced hypotension. High signal intensity at the right parietooccipital lobe was noted on fluid-attenuated inversion recovering imaging and diffusion-weighted imaging. His neurological symptoms improved two days after initial presentation. Follow-up diffusion-weighted imaging showed resolution of the brain lesions 10 days after the surgery.CONCLUSIONS:
We report a patient who presented with PRES after administration of phenylephrine during resection of a solitary pulmonary nodule. PRES should be considered for patients presented with acute neurologic symptoms following surgical procedures.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Phenylephrine
/
Brain
/
Follow-Up Studies
/
Solitary Pulmonary Nodule
/
Thoracic Surgery, Video-Assisted
/
Facial Paralysis
/
Posterior Leukoencephalopathy Syndrome
/
Hypertension
/
Hypotension
/
Neurologic Manifestations
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of Neurocritical Care
Year:
2017
Type:
Article
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