Posterior Reversible Encephalopathy Syndrome and Reversible Cerebral Vasoconstriction Syndrome after Rapid Blood Transfusion

Kazuyuki Saito; Yu Shimizu; Maya Higuma; Takayuki Kubodera; Yoshiaki Wada

doi:10.2169/internalmedicine.1768-18

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Posterior Reversible Encephalopathy Syndrome and Reversible Cerebral Vasoconstriction Syndrome after Rapid Blood Transfusion

Kazuyuki Saito, Yu Shimizu, Maya Higuma, Takayuki Kubodera, Yoshiaki Wada

著者情報

キーワード: posterior reversible encephalopathy syndrome, reversible cerebral vasoconstriction syndrome, blood transfusion, magnetic resonance imaging, hypoalbuminemia

ジャーナルオープンアクセス早期公開

論文ID: 1768-18

DOI https://doi.org/10.2169/internalmedicine.1768-18

この記事には本公開記事があります。

The final version of this article is now available: Vol. 58 (2019), No. 15 pp. 2225-2230

詳細

抄録

We herein report a case of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS) that occurred immediately after blood transfusion. A 64-year-old Japanese woman was diagnosed with liver cirrhosis due to hepatitis B 2 years ago. She was admitted to our hospital with hemorrhagic shock due to esophageal variceal rupture. She was hospitalized with rapid blood pumping transfusion, after which consciousness disorder appeared, and her blood pressure suddenly increased. Magnetic resonance imaging revealed PRES and RCVS. We speculated that hypoalbuminemia and blood transfusion might have been involved in the development of PRES and RCVS.

責任著者(Corresponding author)

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