Open AccessHeat Stroke with Status Epilepticus Secondary to Posterior Reversible Encephalopathy Syndrome (PRES)
Author(s) -
Yeow Hoay Koh
Publication year - 2018
Publication title -
case reports in critical care
Language(s) - English
Resource type - Journals
eISSN - 2090-6439
pISSN - 2090-6420
DOI - 10.1155/2018/3597474
Subject(s) - medicine , rhabdomyolysis , status epilepticus , stroke (engine) , coma (optics) , encephalopathy , anesthesia , acute kidney injury , posterior reversible encephalopathy syndrome , epilepsy , hyperthermia , convulsion , pediatrics , magnetic resonance imaging , psychiatry , engineering , radiology , mechanical engineering , physics , optics
Heat stroke is a life threatening, multisystem disorder characterized by severe hyperthermia (core body temperature > 41.1°C) with central nervous system dysfunction and/or other end organ damage. Neurological complications, such as disturbances of consciousness, convulsion, profound mental change, disorientation, or even prolonged coma, were present in almost all cases of exertional heat stroke (EHS). We present a case of EHS with severe rhabdomyolysis and acute oliguric kidney injury in a 20-year-old healthy marathon runner, who developed status epilepticus on Day 4 of his admission. The patient was managed in ICU with renal replacement therapy and aggressive seizure control. He made a full recovery after 2 weeks of ICU stay. Diagnosis of EHS with posterior reversible encephalopathy syndrome (PRES) secondary to acute kidney injury was made.