Phenylephrine Induced Posterior Reversible Encephalopathy Syndrome during Resection of Solitary Pulmonary Nodule
Journal of Neurocritical Care
;
(2): 32-35, 2017.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Phényléphrine
/
Encéphale
/
Études de suivi
/
Nodule pulmonaire solitaire
/
Chirurgie thoracique vidéoassistée
/
Paralysie faciale
/
Leucoencéphalopathie postérieure
/
Hypertension artérielle
/
Hypotension artérielle
/
Manifestations neurologiques
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Journal of Neurocritical Care
Année:
2017
Type:
Article
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