Salih Noman, Ghani Numan, Ullah Hidayat, Ullah Izhar, Khan Abbas, Ihtisham Muhammad
General Internal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.
Internal Medicine, Lady Reading Hospital Peshawar, Peshawar, PAK.
Cureus. 2023 Aug 29;15(8):e44345. doi: 10.7759/cureus.44345. eCollection 2023 Aug.
The condition known as posterior reversible encephalopathy syndrome (PRES) is characterized by symptoms such as headaches, seizures, and vision problems due to brain swelling, which often can be seen in brain scans. While there have been some cases of PRES linked to conditions such autoimmune diseases and high blood pressure, we're sharing a unique case here. Our case involves severe kidney damage caused by idiopathic hemolytic anaemia. The patient also experienced loss of consciousness, seizures, and headache. Brain scans confirmed the signs of PRES. We managed to help the patient recover fully through careful treatment, including fluids, managing seizures, and transfusions.
Our patient was dealing with severe kidney damage from idiopathic hemolytic anaemia. They had episodes of loss of consciousness, seizures, and headaches. Brain scans showed that they had PRES.
We found out that the patient had severe kidney damage because of hemolytic anaemia, and she also had PRES. We treated her by giving fluids, managing her seizures, and doing blood transfusions, along with other supportive care.
With our treatment, the patient got better, her neurological symptoms improved, and her brain scans showed fewer signs of PRES. This case tells us something interesting - sometimes, anaemia can lead to rare neurological problems like PRES. We need to be aware of these possibilities to help patients better. Our successful treatment in this case emphasizes how important quick and comprehensive care can be for good outcomes.
被称为后部可逆性脑病综合征(PRES)的病症,其特征表现为头痛、癫痫发作以及因脑肿胀导致的视力问题,这些症状在脑部扫描中常常可见。虽然已有一些PRES病例与自身免疫性疾病和高血压等病症相关,但我们在此分享一个独特病例。我们的病例涉及特发性溶血性贫血导致的严重肾损伤。患者还出现了意识丧失、癫痫发作和头痛症状。脑部扫描证实了PRES的迹象。我们通过精心治疗,包括补液、控制癫痫发作和输血,成功帮助患者完全康复。
我们的患者患有特发性溶血性贫血导致的严重肾损伤。他们出现了意识丧失、癫痫发作和头痛发作。脑部扫描显示他们患有PRES。
我们发现患者因溶血性贫血而患有严重肾损伤,并且她还患有PRES。我们通过补液、控制她的癫痫发作、进行输血以及其他支持性护理来治疗她。
通过我们的治疗,患者病情好转,其神经症状得到改善,脑部扫描显示PRES迹象减少。这个病例告诉我们一些有趣的事情——有时,贫血会导致像PRES这样罕见的神经问题。我们需要意识到这些可能性以更好地帮助患者。我们在这个病例中的成功治疗强调了快速和全面护理对于取得良好治疗效果的重要性。