Posterior reversible encephalopathy syndrome due to unilateral renal artery stenosis Article Swipe
Denis Babici
,
Fawzi Hindi
,
Khalid A. Hanafy
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4103/bc.bc_14_22
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.4103/bc.bc_14_22
A tricenarian female with a past medical history of status epilepticus secondary to posterior reversible encephalopathy syndrome (PRES) of unknown etiology presented with a 2-week history of double vision, dizziness, elevated blood pressure, and altered mental status. On hospital day 2, she experienced status epilepticus, during which her blood pressure rose to 240/160 from her baseline of around 140/90. The patient was subsequently intubated for airway protection and transferred to the intensive care unit, where she was started on a nicardipine drip. Due to her history of thrombotic microangiopathy, empiric treatment with plasma exchange and prednisone was started but discontinued when ADAMTS13 came back negative. Urine metanephrines also were found to be negative. Computed tomography angiography of the abdomen showed left renal artery stenosis and stent was placed. Remarkably, over the coming days, her blood pressure normalized, and her neurologic symptoms significantly improved. As a result, antihypertensive medications were titrated down, and the patient was finally provided with a cause of her repetitive, life-threatening episodes of PRES.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/bc.bc_14_22
- OA Status
- diamond
- Cited By
- 1
- References
- 18
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4285191157Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/bc.bc_14_22Digital Object Identifier
- Title
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Posterior reversible encephalopathy syndrome due to unilateral renal artery stenosisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-04-01Full publication date if available
- Authors
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Denis Babici, Fawzi Hindi, Khalid A. HanafyList of authors in order
- Landing page
-
https://doi.org/10.4103/bc.bc_14_22Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.4103/bc.bc_14_22Direct OA link when available
- Concepts
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Medicine, Posterior reversible encephalopathy syndrome, Blood pressure, Anesthesia, Stent, Status epilepticus, Intensive care unit, Surgery, Stroke (engine), Cardiology, Internal medicine, Epilepsy, Radiology, Magnetic resonance imaging, Engineering, Psychiatry, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2022: 1Per-year citation counts (last 5 years)
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18Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| publication_year | 2022 |
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