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KMID : 1201420170100010032
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Journal of Neurocritical Care
2017 Volume.10 No. 1 p.32 ~ p.35
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Phenylephrine Induced Posterior Reversible Encephalopathy Syndrome during Resection of Solitary Pulmonary Nodule
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Hong Soon-Ho
Park Yun-Kyung
Yoon Bo-Ra
Lee Kee-Ook
Kim Yong-Duk
Na Sang-Jun
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Abstract
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Background: Posterior reversible encephalopathy syndrome (PRES) is a neurological complication caused by cerebral hyperperfusion.
Case Report: A 46-year-old male presented with decreased mental status, left facial palsy, and left-sided weakness after video-assisted thoracoscopic surgery for a solitary pulmonary nodule. During the surgery, phenylephrine was infused intravenously for general anesthesia-induced hypotension. High signal intensity at the right parietooccipital lobe was noted on fluid-attenuated inversion recovering imaging and diffusion-weighted imaging. His neurological symptoms improved two days after initial presentation. Follow-up diffusion-weighted imaging showed resolution of the brain lesions 10 days after the surgery.
Conclusions: We report a patient who presented with PRES after administration of phenylephrine during resection of a solitary pulmonary nodule. PRES should be considered for patients presented with acute neurologic symptoms following surgical procedures.
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KEYWORD
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Posterior reversible encephalopathy syndrome, Phenylephrine, Hypertension
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