Title:Posterior Reversible Encephalopathy Syndrome Complicated by Aneurysm Interventional Embolization: A Case Report
Volume: 21
Author(s): Yi-Xuan Wang, Yang Liu*, Jian-Feng Xu and Biao Jin
Affiliation:
- Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, Luzhou City, 646000, China
Keywords:
Intracranial aneurysm, Status epilepticus, Posterior reversible encephalopathy syndrome (PRES), Cerebral vasospasm, Aneurysm embolization.
Abstract:
Introduction:
Complications of Post-Reversible Encephalopathy Syndrome (PRES) following interventional embolization of aneurysms are rarely reported, and
PRES disease can be reduced or resolved through prompt and aggressive treatment, resulting in minimal or no residual neurological deficits.
Case Presentation:
A 51-year-old female patient with an aneurysm in the pericallosal segment of the left anterior cerebral artery experienced prolonged status
epilepticus following aneurysm embolization, attributed to PRES. The diagnosis of PRES was confirmed by symptom improvement and resolution
of lesions on imaging studies after one month of treatment involving blood pressure management and prevention of cerebral vasospasm. At the 7-
month post-discharge follow-up, the patient's examination indexes were normal without any residual neurological deficits.
Conclusion:
This case underscores the importance of promptly identifying and diagnosing PRES, as timely intervention can prevent permanent neurological
deficits and mitigate the risk of more severe outcomes.
