Posterior Reversible Encephalopathy Syndrome in a Male With Polysubstance Abuse: A Case Report
Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder with multiple etiologies. The signs and symptoms of PRES are non-specific, making the differential diagnosis broad. Although PRES is suspected clinically, a diagnosis requires characteristic findings on imaging. In patients...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-01, Vol.15 (1), p.e34477 |
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| container_title | Curēus (Palo Alto, CA) |
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| creator | Shrestha, Dhan B Shtembari, Jurgen Achhami, Eliz Adhikari, Lukash Rengarajan, Dinesh |
| description | Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder with multiple etiologies. The signs and symptoms of PRES are non-specific, making the differential diagnosis broad. Although PRES is suspected clinically, a diagnosis requires characteristic findings on imaging. In patients with undiagnosed PRES, the coexistence of substance abuse can divert the care provider from pursuing imaging studies, leading to a missed diagnosis. We describe the case of a 51-year-old male who presented with altered mental status and was diagnosed with PRES despite having a positive urine drug screen. |
| doi_str_mv | 10.7759/cureus.34477 |
| format | Article |
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The signs and symptoms of PRES are non-specific, making the differential diagnosis broad. Although PRES is suspected clinically, a diagnosis requires characteristic findings on imaging. In patients with undiagnosed PRES, the coexistence of substance abuse can divert the care provider from pursuing imaging studies, leading to a missed diagnosis. We describe the case of a 51-year-old male who presented with altered mental status and was diagnosed with PRES despite having a positive urine drug screen.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.34477</identifier><identifier>PMID: 36874686</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Aneurysms ; Blood pressure ; Case reports ; Cocaine ; Consciousness ; Convulsions & seizures ; Drug use ; Eclampsia ; Edema ; Emergency medical care ; Hospitals ; Hypertension ; Internal Medicine ; Magnetic resonance imaging ; Medical diagnosis ; Medical imaging ; Medicine ; Narcotics ; Neuroimaging ; Neurology ; Patients ; Recovery (Medical) ; Stroke ; Substance Use and Addiction ; Tomography</subject><ispartof>Curēus (Palo Alto, CA), 2023-01, Vol.15 (1), p.e34477</ispartof><rights>Copyright © 2023, Shrestha et al.</rights><rights>Copyright © 2023, Shrestha et al. 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Shtembari, Jurgen ; Achhami, Eliz ; Adhikari, Lukash ; Rengarajan, Dinesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c266t-4998bd13c45bd601637f25b717c356c5edba3cc0de042e6fb09589907228583f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aneurysms</topic><topic>Blood pressure</topic><topic>Case reports</topic><topic>Cocaine</topic><topic>Consciousness</topic><topic>Convulsions & seizures</topic><topic>Drug use</topic><topic>Eclampsia</topic><topic>Edema</topic><topic>Emergency medical care</topic><topic>Hospitals</topic><topic>Hypertension</topic><topic>Internal Medicine</topic><topic>Magnetic resonance imaging</topic><topic>Medical diagnosis</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Narcotics</topic><topic>Neuroimaging</topic><topic>Neurology</topic><topic>Patients</topic><topic>Recovery (Medical)</topic><topic>Stroke</topic><topic>Substance Use and Addiction</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shrestha, Dhan B</creatorcontrib><creatorcontrib>Shtembari, Jurgen</creatorcontrib><creatorcontrib>Achhami, Eliz</creatorcontrib><creatorcontrib>Adhikari, Lukash</creatorcontrib><creatorcontrib>Rengarajan, Dinesh</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shrestha, Dhan B</au><au>Shtembari, Jurgen</au><au>Achhami, Eliz</au><au>Adhikari, Lukash</au><au>Rengarajan, Dinesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior Reversible Encephalopathy Syndrome in a Male With Polysubstance Abuse: A Case Report</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2023-01-31</date><risdate>2023</risdate><volume>15</volume><issue>1</issue><spage>e34477</spage><pages>e34477-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Posterior reversible encephalopathy syndrome (PRES) is a neurologic disorder with multiple etiologies. 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| subjects | Aneurysms Blood pressure Case reports Cocaine Consciousness Convulsions & seizures Drug use Eclampsia Edema Emergency medical care Hospitals Hypertension Internal Medicine Magnetic resonance imaging Medical diagnosis Medical imaging Medicine Narcotics Neuroimaging Neurology Patients Recovery (Medical) Stroke Substance Use and Addiction Tomography |
| title | Posterior Reversible Encephalopathy Syndrome in a Male With Polysubstance Abuse: A Case Report |
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