Autor(es): Teixeira, Beatriz ; Gonçalves, Vera ; Cardoso, Ana Lúcia ; Ribeiro Fernandes, Sofia ; Rocha, Liliana ; Garrido, Cristina ; Sarmento, Alzira
Data: 2023
Identificador Persistente: http://hdl.handle.net/10400.16/2987
Origem: Repositório Científico da Unidade Local de Saúde de Santo António (ULSSA)
Assunto(s): antihypertensive therapy; hypertension; posterior reversible encephalopathy syndrome; seizure; vasogenic edema
Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical-radiographic abnormality. It is characterized by headache, altered consciousness, seizures, and visual disruption, in addition to characteristic white matter edema lesions in the parieto-occipital areas of the brain. Early detection and treatment are crucial to prevent irreversible damage. This paper presents the cases of three patients with PRES with concurrent diagnoses of glomerulonephritis, Guillain-Barré syndrome, and sickle cell disease. All patients experienced systemic hypertension, seizures, and altered consciousness. All patients were admitted to intensive care for decreased level of awareness or status epilepticus requiring invasive mechanical ventilation. Anticonvulsants and antihypertensive therapy were essential. No chronic complications were recorded.
