TY - JOUR
TI - An uncommon cause of acutely altered mental status in a renal transplant
recipient
AU - Moris, Demetrios
AU - Vernadakis, Spiridon
AU - Lionaki, Sofia
AU - Daikos,
AU - Georgios
AU - Zavos, Georgios
JO - UPSALA Journal of Medical Sciences
PY - 2014
VL - 119
TODO - 1
SP - 50-54
PB - TAYLOR & FRANCIS LTD LONDON
SN - 0300-9734, 2000-1967
TODO - 10.3109/03009734.2013.842618
TODO - Depression; end-stage renal disease; hypertension; posterior reversible
encephalopathy syndrome; tacrolimus
TODO - Introduction. Neurological complications are quite frequent in patients
after solid organ transplantation presenting with focal or generalized
neurologic symptoms as well as altered mental status. Posterior
reversible encephalopathy syndrome is a rare cliniconeuroradiological
entity characterized by headache, altered mental status, cortical
blindness, seizures, and other focal neurological signs and a diagnostic
magnetic resonance imaging.
Case report. We present a case of a 57-year-old woman with one episode
of seizures and sudden onset of altered mental status (time and person
perception) accompanied with headache at the thirtieth postoperative day
after renal transplantation.
Conclusion. Posterior reversible encephalopathy syndrome, although an
uncommon post-renal transplantation complication, should be considered
in these patients, as several factors surrounding the setting of
transplantation have been implicated in its development. Thus,
physicians should be aware of this condition in order to establish the
diagnosis and offer appropriate treatment.
ER -