Shrestha Dhan B, Shtembari Jurgen, Achhami Eliz, Adhikari Lukash, Rengarajan Dinesh
Department of Medicine, Mount Sinai Hospital, Chicago, USA.
Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Cureus. 2023 Jan 31;15(1):e34477. doi: 10.7759/cureus.34477. eCollection 2023 Jan.
Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder with multiple etiologies. The signs and symptoms of PRES are non-specific, making the differential diagnosis broad. Although PRES is suspected clinically, a diagnosis requires characteristic findings on imaging. In patients with undiagnosed PRES, the coexistence of substance abuse can divert the care provider from pursuing imaging studies, leading to a missed diagnosis. We describe the case of a 51-year-old male who presented with altered mental status and was diagnosed with PRES despite having a positive urine drug screen.
后部可逆性脑病综合征（PRES）是一种病因多样的神经系统疾病。PRES的体征和症状不具有特异性，这使得鉴别诊断范围广泛。虽然临床上怀疑为PRES，但确诊需要影像学上的特征性表现。在未确诊PRES的患者中，药物滥用的并存可能会使医护人员不再进行影像学检查，从而导致漏诊。我们描述了一名51岁男性患者的病例，该患者出现精神状态改变，尽管尿液药物筛查呈阳性，但仍被诊断为PRES。
