Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000500013 |
Resumo: | ABSTRACT We report a case of cortical blindness secondary to posterior leukoencephalopathy syndrome, which was successfully treated by blood pressure management. A 66-year-old white man presented at the emergency room complaining of severe frontal headache, disorientation, and progressive blurred vision. The initial physical examination disclosed a blood pressure of 200/176 mmHg. One hour later the patient exhibited mental confusion and bilateral blindness. Computed tomography and magnetic resonance imaging were performed, and a systemic workup was conducted, resulting in a diagnosis of posterior leukoencephalopathy syndrome. This syndrome is a rare manifestation of systemic hypertension that requires proper diagnosis and management to avoid irreversible brain damage. Early recognition of this condition and prompt control of the patient’s blood pressure are essential because they may bring about a reversal of the syndrome, which may otherwise result in permanent brain damage. |
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Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure managementBlindnessHypertensive encephalopathyHypertensionPosterior leukoencephalopathy syndromeHumansCase reportsABSTRACT We report a case of cortical blindness secondary to posterior leukoencephalopathy syndrome, which was successfully treated by blood pressure management. A 66-year-old white man presented at the emergency room complaining of severe frontal headache, disorientation, and progressive blurred vision. The initial physical examination disclosed a blood pressure of 200/176 mmHg. One hour later the patient exhibited mental confusion and bilateral blindness. Computed tomography and magnetic resonance imaging were performed, and a systemic workup was conducted, resulting in a diagnosis of posterior leukoencephalopathy syndrome. This syndrome is a rare manifestation of systemic hypertension that requires proper diagnosis and management to avoid irreversible brain damage. Early recognition of this condition and prompt control of the patient’s blood pressure are essential because they may bring about a reversal of the syndrome, which may otherwise result in permanent brain damage.Conselho Brasileiro de Oftalmologia2017-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000500013Arquivos Brasileiros de Oftalmologia v.80 n.5 2017reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20170079info:eu-repo/semantics/openAccessAbalo-Lojo,José ManuelBaleato-González,SandraGonzalez,Franciscoeng2017-11-09T00:00:00Zoai:scielo:S0004-27492017000500013Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2017-11-09T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
title |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
spellingShingle |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management Abalo-Lojo,José Manuel Blindness Hypertensive encephalopathy Hypertension Posterior leukoencephalopathy syndrome Humans Case reports |
title_short |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
title_full |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
title_fullStr |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
title_full_unstemmed |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
title_sort |
Cortical blindness secondary to posterior reversible encephalopathy syndrome, recovered by successful blood pressure management |
author |
Abalo-Lojo,José Manuel |
author_facet |
Abalo-Lojo,José Manuel Baleato-González,Sandra Gonzalez,Francisco |
author_role |
author |
author2 |
Baleato-González,Sandra Gonzalez,Francisco |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Abalo-Lojo,José Manuel Baleato-González,Sandra Gonzalez,Francisco |
dc.subject.por.fl_str_mv |
Blindness Hypertensive encephalopathy Hypertension Posterior leukoencephalopathy syndrome Humans Case reports |
topic |
Blindness Hypertensive encephalopathy Hypertension Posterior leukoencephalopathy syndrome Humans Case reports |
description |
ABSTRACT We report a case of cortical blindness secondary to posterior leukoencephalopathy syndrome, which was successfully treated by blood pressure management. A 66-year-old white man presented at the emergency room complaining of severe frontal headache, disorientation, and progressive blurred vision. The initial physical examination disclosed a blood pressure of 200/176 mmHg. One hour later the patient exhibited mental confusion and bilateral blindness. Computed tomography and magnetic resonance imaging were performed, and a systemic workup was conducted, resulting in a diagnosis of posterior leukoencephalopathy syndrome. This syndrome is a rare manifestation of systemic hypertension that requires proper diagnosis and management to avoid irreversible brain damage. Early recognition of this condition and prompt control of the patient’s blood pressure are essential because they may bring about a reversal of the syndrome, which may otherwise result in permanent brain damage. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000500013 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492017000500013 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/0004-2749.20170079 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.80 n.5 2017 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
_version_ |
1754209029507252224 |