التفاصيل البيبلوغرافية
| العنوان: |
Posterior reversible encephalopathy syndrome due to nonadherence to antihypertensive treatment: A case report from Nepal. |
| المؤلفون: |
Priyanka, K.C., Anand, Ayush, Husain, Salman Haidar, Bhattarai, Urza, Sharma, Sanjib Kumar |
| المصدر: |
Clinical Case Reports; Jan2024, Vol. 12 Issue 1, p1-5, 5p |
| مصطلحات موضوعية: |
POSTERIOR leukoencephalopathy syndrome, PATIENT compliance, HYPERTENSIVE encephalopathy, BLOOD pressure, COMPUTED tomography |
| مصطلحات جغرافية: |
NEPAL |
| مستخلص: |
Key Clinical Message: Posterior reversible encephalopathy syndrome may occur secondary to abrupt cessation of antihypertensive therapy. A gradual reduction in blood pressure and counseling regarding medication adherence are crucial to prevent adverse consequences. Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical radiographic syndrome with headache, hypertensive encephalopathy, seizures, and visual disturbances as common modes of presentation. PRES can be attributed to several risk factors. We reported the case of a 66‐year‐old Asian female with PRES following nonadherence to antihypertensive treatment. Initially, her computed tomography scan of the head was normal. After 48 h, we again ordered a head CT scan, which showed lesions suggestive of hypertensive encephalopathy. We immediately reduced 20%–25% of mean arterial pressure, followed by a gradual blood pressure lowering to avoid adverse consequences. We did a follow‐up CT scan of the head at 2 weeks, showing the resolution of early lesions. Hence, we made a diagnosis of PRES. In these patients, it is crucial to ensure medication adherence to avoid complications. [ABSTRACT FROM AUTHOR] |
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