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14,739 results
  • Posterior reversible encephalopathy syndrome following elevated mean arterial pressures for cervical spinal cord injury. [Journal Article]
  • JSJ Spinal Cord Med 2016 Dec 05; :1-4
  • Zimering JH, Mesfin A
  • CONCLUSIONS: This is the first report of posterior reversible encephalopathy syndrome secondary to therapeutic blood pressure increase in the setting of cervical spine fracture with neurological deficits. The patients had resolution of symptoms following discontinuation of the MAP goals. Posterior reversible encephalopathy syndrome (PRES) is a life-threatening condition characterized by seizures, confusion, visual disturbance, and headaches alongside neuroradiological findings indicative of posterior cerebral hemispheric white matter edema. (1 , 2) PRES has been described in association with abrupt blood pressure elevation, autoimmune disorders, or transplantation. (1 - 4) In this case report PRES presented with typical status epilepticus (5) but in an unexpected clinical setting, immediately after anterior cervical decompression and fusion (ACDF) and posterior cervical fusion (PCF) with laminectomy of C5-C6.
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