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- Title
Posterior reversible encephalopathy syndrome due to nonadherence to antihypertensive treatment: A case report from Nepal.
- Authors
Priyanka, K.C.; Anand, Ayush; Husain, Salman Haidar; Bhattarai, Urza; Sharma, Sanjib Kumar
- Abstract
Key Clinical Message: Posterior reversible encephalopathy syndrome may occur secondary to abrupt cessation of antihypertensive therapy. A gradual reduction in blood pressure and counseling regarding medication adherence are crucial to prevent adverse consequences. Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical radiographic syndrome with headache, hypertensive encephalopathy, seizures, and visual disturbances as common modes of presentation. PRES can be attributed to several risk factors. We reported the case of a 66‐year‐old Asian female with PRES following nonadherence to antihypertensive treatment. Initially, her computed tomography scan of the head was normal. After 48 h, we again ordered a head CT scan, which showed lesions suggestive of hypertensive encephalopathy. We immediately reduced 20%–25% of mean arterial pressure, followed by a gradual blood pressure lowering to avoid adverse consequences. We did a follow‐up CT scan of the head at 2 weeks, showing the resolution of early lesions. Hence, we made a diagnosis of PRES. In these patients, it is crucial to ensure medication adherence to avoid complications.
- Subjects
NEPAL; POSTERIOR leukoencephalopathy syndrome; PATIENT compliance; HYPERTENSIVE encephalopathy; BLOOD pressure; COMPUTED tomography
- Publication
Clinical Case Reports, 2024, Vol 12, Issue 1, p1
- ISSN
2050-0904
- Publication type
Case Study
- DOI
10.1002/ccr3.8393