
Positive Effect of Steroids in Posterior Reversible Encephalopathy Syndrome
Author(s) -
Meyer Marco,
Niemöller Ulrich,
Stein Thomas,
Schmetsdorf Stefanie,
Arnold Andreas,
El-Sheik Michael,
Schuster Alexander,
Adarkwah Charles Christian,
Schramm Patrick,
Tanislav Christian
Publication year - 2019
Publication title -
case reports in neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.207
H-Index - 15
ISSN - 1662-680X
DOI - 10.1159/000500410
Subject(s) - case report
We present a case of posterior reversible encephalopathy syndrome with severe clinical manifestation. Apart from initial aphasia, hemiparesis, and a generalized seizure, the patient had a prolonged loss of consciousness. Although blood pressure was normalized, the clinical status deteriorated continuously. After adding steroids to the therapy, the patient recovered rapidly, suggesting that this could have been a useful therapeutic approach. Even the vasogenic edema in the cerebral magnetic resonance imaging disappeared shortly within 6 days.