Rhabdomyolysis-Induced Acute Kidney Injury Associated with Posterior Reversible Encephalopathy Syndrome
횡문근융해증에 의한 급성 신손상 환자에서 발생한 고혈압성가역적후두부뇌병증 증후군 1예
김우정 ; 박승교 ; 박형천 ; 하성규 ; 최훈영
Korean Journal of Nephrology, Vol.30(4) : 394~398, 2011
Korean Journal of Nephrology
Posterior reversible encephalopathy syndrome (PRES) is characterized by altered mental status, headache, vomiting, visual loss, seizure and reversible posterior subcortical white matter and cortex edema in brain image studies. It is often associated with malignant Hypertension and immunosuppression. We present a 30-year-old male with PRES. He was admitted to our hospital with rhabdomyolysis and acute kidney injury (AKI). During the hospital course, he developed acute malignant Hypertension accompanied by visual loss and generalized seizure. Brain MRI demonstrated increased signal intensity with gyral swelling in cerebellar hemisphere, parieto-occipital cortex, and subcortical white matter area. Following aggressive blood pressure control and hemodialysis the patient recovered fully without any neurologic or visual complications. We report a case of PRES associated with AKI due to rhabdomyolysis.