关键词: blood transfusions fluids idiopathic hemolytic anaemia posterior reversible encephalopathy syndrome seizure management

来  源:   DOI:10.7759/cureus.44345   PDF(Pubmed)

Abstract:
BACKGROUND: The condition known as posterior reversible encephalopathy syndrome (PRES) is characterized by symptoms such as headaches, seizures, and vision problems due to brain swelling, which often can be seen in brain scans. While there have been some cases of PRES linked to conditions such autoimmune diseases and high blood pressure, we\'re sharing a unique case here. Our case involves severe kidney damage caused by idiopathic hemolytic anaemia. The patient also experienced loss of consciousness, seizures, and headache. Brain scans confirmed the signs of PRES. We managed to help the patient recover fully through careful treatment, including fluids, managing seizures, and transfusions.
METHODS: Our patient was dealing with severe kidney damage from idiopathic hemolytic anaemia. They had episodes of loss of consciousness, seizures, and headaches. Brain scans showed that they had PRES.
METHODS: We found out that the patient had severe kidney damage because of hemolytic anaemia, and she also had PRES. We treated her by giving fluids, managing her seizures, and doing blood transfusions, along with other supportive care.
CONCLUSIONS: With our treatment, the patient got better, her neurological symptoms improved, and her brain scans showed fewer signs of PRES. This case tells us something interesting - sometimes, anaemia can lead to rare neurological problems like PRES. We need to be aware of these possibilities to help patients better. Our successful treatment in this case emphasizes how important quick and comprehensive care can be for good outcomes.
摘要:
背景:称为可逆性后部脑病综合征(PRES)的疾病的特征是头痛等症状,癫痫发作,大脑肿胀导致的视力问题,这通常可以在脑部扫描中看到。虽然有一些PRES病例与自身免疫性疾病和高血压等疾病有关,我们在这里分享一个独特的案例。我们的病例涉及特发性溶血性贫血引起的严重肾脏损害。病人也出现了意识丧失,癫痫发作,和头痛。脑部扫描证实了PRES的迹象。我们设法通过精心治疗帮助病人完全康复,包括流体,管理缉获,和输血。
方法:我们的患者患有特发性溶血性贫血导致的严重肾损害。他们有失去知觉的发作,癫痫发作,和头痛。脑部扫描显示他们患有PRES。
方法:我们发现患者因溶血性贫血而出现严重的肾脏损害,她也有PRES。我们通过给她输液来治疗她,控制她的癫痫发作,输血,以及其他支持性护理。
结论:通过我们的治疗,病人好转了,她的神经症状有所改善,她的脑部扫描显示PRES的迹象较少。这个案子告诉我们一些有趣的事情-有时候,贫血会导致罕见的神经系统问题,如PRES。我们需要意识到这些可能性,以更好地帮助患者。在这种情况下,我们的成功治疗强调了快速和全面的护理对良好结果的重要性。
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