Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Near fatal posterior reversible encephalopathy syndrome complicating chronic liver failure and treated by induced hypothermia and dialysis: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Case report Near fatal posterior reversible encephalopathy syndrome complicating chronic liver failure and treated by induced hypothermia and dialysis a case report Rashmi Chawla1 Daniel Smith2 and Paul E Marik1 Open Access Addresses 1Division of Pulmonary and Critical Care Medicine Thomas Jefferson University Philadelphia PA USA and 2Medical Intensive Care Unit Thomas Jefferson University Hospital Philadelphia PA USA Email PEM - Corresponding author Published 26 March 2009 Received 19 September 2008 Journal of Medical Case Reports 2009 3 6623 doi I752-I947-3-6623 Accepted 22 January 2009 This article is available from http jmedicalcasereports article view 3 3 6623 2009 Chawla et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Posterior reversible encephalopathy syndrome is a clinico-neuroradiological entity characterized by headache vomiting altered mental status blurred vision and seizures with neuroimaging studies demonstrating white-gray matter edema involving predominantly the posterior region of the brain. Case presentation We report a 47-year-old Caucasian man with liver cirrhosis who developed posterior reversible encephalopathy syndrome following an upper gastrointestinal hemorrhage and who was managed with induced hypothermia for control of intracranial hypertension and continuous veno-venous hemodiafiltration for severe hyperammonemia. Conclusion We believe this is the first documented case report of posterior reversible encephalopathy syndrome associated with cirrhosis as well as the first report of the use of induced hypothermia and continuous veno-venous hemodiafiltration in this setting. .
