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2017 ; 96
(27
): e7424
Nephropedia Template TP
gab.com Text
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English Wikipedia
Sudden bilateral vision loss as the sole manifestation of posterior reversible
encephalopathy syndrome from acute uremia: Clinical case report
#MMPMID28682904
Shin HY
; Kim SH
; Lee MY
; Yoon SA
; Kim SY
; Lee YC
Medicine (Baltimore)
2017[Jul]; 96
(27
): e7424
PMID28682904
show ga
RATIONALE: Posterior reversible encephalopathy syndrome (PRES) is a
cliniconeuroradiological entity associated with vasogenic edema. Symptoms may
include headache, seizures, altered mental status, and visual impairment.
Patients with PRES generally present with neurological deficits. PATIENT
CONCERNS: Here, we report an unusual case of a 42-year-old man who presented with
sudden bilateral vision loss without any other neurologic symptoms. DIAGNOSES: He
was diagnosed with PRES secondary to acute uremia. INTERVENTIONS AND OUTCOMES:
Our patient experienced a dramatic improvement in visual acuity, blood chemistry
values, and magnetic resonance imaging findings following repeated hemodialysis.
LESSONS: Sudden bilateral vision loss may be the sole manifestation of PRES,
particularly in patient with risk factors for PRES. Awareness of this variation
of the clinical symptoms of PRES is important to facilitate its recognition.