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Posterior Reversible Encephalopathy Syndrome (PRES) and its relation with COPD
Aavishkar Raj Regmi1, Upasana Bhatta1, Adarsh Gurung1
1Department of Internal Medicine, KIST Medical College, Imadol, Lalitpur, Nepal.
Introduction:
and importance: PRES is a neurological disorder which is usually seen in adult females with symptoms like headache, altered mental status, seizures, impairment of vision. It is a radiographic diagnosis and can present with complications like status epilepticus, hemorrhagic and ischemic brain strokes.It can be associated with many clinical entities, COPD being one. Treatment is symptomatic.
Case Presentation:
We present a case of a 68 years female, presenting with clinical pictures of PRES in an episode of Acute Exacerbation of COPD, who has been diagnosed with PRES based on her CT head and MRI head findings. Treated by treating the infection and other symptomatic measures.
Clinical Discussion:
Our case had similar association with COPD as mentioned in few other articles.
Conclusion:
Although rare, PRES is sometimes associated with exacerbation of COPD, and thus should not be ignored.
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