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http://dx.doi.org/10.12701/yujm.2021.01375

Posterior reversible encephalopathy syndrome related to anemia correction in a patient with uterine myoma: a case report  

Lee, Jisun (Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Lee, Hyun Jung (Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital)
Publication Information
Journal of Yeungnam Medical Science / v.39, no.4, 2022 , pp. 336-340 More about this Journal
Abstract
Although posterior reversible encephalopathy syndrome (PRES) is induced by various causes, a few cases have occurred after severe anemia correction. In this case report, a 45-year-old female patient visited emergency department with a chief complaint of dizziness due to severe anemia related to hypermenorrhea caused by uterine myoma. Before her operation, she had an abrupt headache and seizure during anemia correction with transfusion and injection of gonadotropin-releasing hormone agonist. Immediately after the operation, she experienced visual disturbances, followed by limb weakness and tonic-clonic movements. Magnetic resonance imaging showed alterations in parietal and occipital lobes suggesting cerebrovascular edema with hypoperfusion. Here, we presented and discussed the clinical and radiologic features of PRES related to anemia correction.
Keywords
Anemia; Blood transfusion; Magnetic resonance imaging; Posterior reversible encephalopathy syndrome;
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