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Published on: July 4, 2007
Epinephrine-induced posterior reversible encephalopathy syndrome: a case report
Ramez Gharabawy1, Vijayasimha R Pothula, Vladimir Rubinshteyn
1Department of Anesthesiology, Staten Island University Hospital, Staten Island, NY 10305, USA. drsimham@gmail.com
Abstract:
Posterior reversible encephalopathy syndrome (PRES) is a rare disorder that is usually associated with hypertensive crises. It is often missed but may be diagnosed by head computed tomographic (CT) scan or magnetic resonance imaging. An adolescent man presented for elective right shoulder arthroscopic bankart repair. Arthroscopy was performed using a solution of normal saline with 3.3 mg/L of epinephrine for irrigation. Postoperatively, the patient presented with hypertension and epileptiform activity. A CT scan of the head showed PRES.
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