Journal of Psychiatry

Journal of Psychiatry
Open Access

ISSN: 2378-5756

+44 1477412632


Neurology Congress 2017: A rare case of recurrent PRES with rifampicin - Harsh Bhardwaj - Army Hospital

Harsh Bhardwaj

Abstract: Posterior reversible encephalopathy syndrome is a disorder of reversible subcortical brain oedema involving the posterior parts of the brain which is seen in patients with acute neurological symptoms. There could be various manifestations syndrome which could present in combination or rarely in isolation.  Most of the patients have encephalopathy at presentation followed by seizures, headache and disturbances in vision.

The most widely recognized causes incorporate renal disappointment, circulatory strain variances, cytotoxic medications, immune system issue, and pre-eclampsia or eclampsia. Mind imaging typically uncovers vasogenic oedema dominatingly including the reciprocal parieto-occipital areas.

Introduction: Posterior reversible encephalopathy condition (PRES) is a clinical disorder of cerebral pain, adjusted mental status, and seizures with reversible for the most part back leukoencephalopathy on neuroimaging Precipitating variables for PRES are multifactorial and incorporate auto administrative disappointment because of changes in circulatory strain, metabolic disturbances, and cytotoxic drugs. As the name infers, PRES is commonly reversible and resolves by rewarding the fundamental reason. The utilization of immunosuppressant is a realized hazard factor for the improvement of PRES. Among cytotoxic prescriptions, cyclosporine is the best answered to cause PRES, yet numerous different drugs have likewise been accounted for to have PRES as confusion. We report an uncommon instance of a patient who was given cyclophosphamide for the treatment of Anti-glomerular cellar layer (Anti-GBM) positive vasculitis, and created PRES.