与酒精相关的后可逆性脑病综合征：一例使用苯并二氮杂卓戒酒方案治疗患者的病例报告。

IF 0.6 4区医学 Q4 CLINICAL NEUROLOGY

Neurocase Pub Date : 2023-06-01 Epub Date: 2024-05-03 DOI:10.1080/13554794.2024.2346365

Rafail A Chionatos, David P Lerner, Joseph D Burns, Anil Ramineni

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引用次数: 0

摘要

我们报告了一例在使用加巴喷丁和氯尼丁治疗酒精戒断综合征期间出现的后可逆性脑病综合征（PRES）病例。患者出现严重的高血压、意识模糊和震颤，最终导致双侧视力丧失和癫痫发作。影像学检查显示其脑后水肿。使用苯二氮卓、降压药和抗癫痫药物治疗后，症状得到缓解。一年后，影像学检查结果显示病情得到缓解。我们回顾了相关文献，并提出了一个 PRES 亚病种，即酒精相关 PRES（ARPRES），它可以出现在酒精戒断综合征、慢性饮酒和急性酒精中毒的情况下，伴有或不伴有高血压。

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Alcohol-related posterior reversible encephalopathy syndrome: a case report of a patient managed with a benzodiazepine-sparing regimen for alcohol withdrawal.

We report a case of posterior reversible encephalopathy syndrome (PRES) during treatment for alcohol withdrawal syndrome with gabapentin and clonidine. The patient developed severe hypertension, confusion and tremor, culminating in bilateral vision loss and a seizure. Imaging revealed posterior cerebral edema. Treatment with benzodiazepines, antihypertensives, and anti-seizure medications led to resolution. One year later, imaging showed resolution of the findings. We review the associated literature and propose the recognition of a PRES sub-entity, Alcohol-Related PRES (ARPRES), which can appear in the setting of alcohol withdrawal syndrome, chronic alcohol use, and acute alcohol intoxication, with or without hypertension.

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来源期刊

Neurocase 医学-精神病学

CiteScore

1.40

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.