Anil K. Bachu , Sushma Srinivas , Vijaya P. Kotapati , Hansini Kochhar , Ozge C. Amuk Williams , Garima Yadav , Tejasvi Kainth , Zeeshan Mansuri
{"title":"Posterior reversible encephalopathy syndrome in a chronic alcoholic patient with alcohol withdrawal: A case report","authors":"Anil K. Bachu , Sushma Srinivas , Vijaya P. Kotapati , Hansini Kochhar , Ozge C. Amuk Williams , Garima Yadav , Tejasvi Kainth , Zeeshan Mansuri","doi":"10.1016/j.psycr.2023.100180","DOIUrl":null,"url":null,"abstract":"<div><p>Posterior reversible encephalopathy syndrome (PRES) is a critical neurological condition characterized by symptoms such as altered mental state, seizures, and visual disturbances. Essential hypertension is the most commonly associated risk factor. PRES has also been linked to alcohol intoxication. In this case report, we present the case of a 60-year-old male with a history of chronic alcoholism who developed PRES during an episode of acute hypertensive crisis. The patient's alcohol withdrawal delirium, exacerbated by alcohol use, was managed with benzodiazepines. Treatment of PRES typically involves addressing the underlying cause and providing symptomatic care. Prompt management is crucial in suspected PRES cases to prevent complications.</p></div>","PeriodicalId":74594,"journal":{"name":"Psychiatry research case reports","volume":"2 2","pages":"Article 100180"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry research case reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2773021223000780","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Posterior reversible encephalopathy syndrome (PRES) is a critical neurological condition characterized by symptoms such as altered mental state, seizures, and visual disturbances. Essential hypertension is the most commonly associated risk factor. PRES has also been linked to alcohol intoxication. In this case report, we present the case of a 60-year-old male with a history of chronic alcoholism who developed PRES during an episode of acute hypertensive crisis. The patient's alcohol withdrawal delirium, exacerbated by alcohol use, was managed with benzodiazepines. Treatment of PRES typically involves addressing the underlying cause and providing symptomatic care. Prompt management is crucial in suspected PRES cases to prevent complications.
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