|
|
|
Click Here to return To Results
|
|
We presented a case of PRES with CSF hypovolemia as a result of an inadvertent dural puncture and reviewed the literature to identify the clinical characterization and pathophysiological mechanism of PRES following CSF hypovolemia. A total of 41 cases with a notable female predominance (87.1%). Fifteen patients (48.4%) didnt have cause of CSF hypovolemia was epidural or lumbar puncture (n=21), followed by CSF shunt (n=6). The median interval between the procedure leading to CSF hypovolemia and PRES was 4 days. Seizure, altered mental state, and headache were the most frequent presenting symptom. The parieto-occipital pattern was most frequent (71.0%). Conservative management remains the mainstay of treatment with excellent outcomes. Three patients had a second episode of PRES. Given that CSF hypovolemia is a common complication of anesthetic, neurological, and neurosurgical procedures, PRES should be early considered for prompt diagnosis and appropriate management. |
|
(click to filter results - removes previous filter)
anesthesia,spinal cerebrospinal fluid,hypovolemia cerebrospinal fluid,leak complications epidural blood patch fever of unknown origin gender headache iatrogenic neurologic disorders intracranial hypotension lumbar puncture lumbar puncture,complications of mental status,abnormal MRI,abnormal posterior leukoencephalopathy syndrome precipitating factors primary intracranial hypotension seizure shunt procedure,lumboperitoneal shunt procedure,ventricular shunt procedure,ventricular-complications of treatment of neurologic disorder
|
Click Here to return To Results
|
|