Abstract

FUSEAU HERRERA, Michelle et al. Diagnosis and management of posterior reversible encephalopathy syndrome in systemic lupus erythematosus. Case report. Rev.Colomb.Reumatol. [online]. 2019, vol.26, n.1, pp.74-79. ISSN 0121-8123.

Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiological disorder that may include encephalopathy, seizures, headache, and visual disturbances. It is associated with conditions that induce endothelial damage, causing vasogenic cerebral edema that can be observed in magnetic resonance scans. It occurs in <1% of patients with systemic lupus erythematosus (SLE). It is usually resolved with timely treatment, but delays may lead to neurological sequelae or death. A case of PRES is presented in a patient with SLE with severe activity, a hypertensive emergency, and lupus glomerulonephritis debuting with epileptic status. The outcome was satisfactory with anticonvulsants, as well as treatment for her cerebral edema and hypertension, along with control of other causal factors.

Keywords : Posterior reversible encephalopathy syndrome; Hypertensive encephalopathy; Systemic lupus erythematosus.

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