A young woman with microscopic polyangiitis (MPA) requiring hemodialysis showed repeated posterior reversible encephalopathy syndrome (PRES) with spatiotemporal multiple lesions over a period of two months. The first PRES episode with confusion and the second PRES episode with vertigo and nausea were caused by MPA, hypertension and renal failure. These symptoms were improved by the reinforcement of MPA treatment and blood pressure management. The third PRES episode with nausea, headache, seizure and visual changes was induced by rituximab infusion and hypertension. The PRES was improved with blood pressure and convulsant management. These conditions are challenging to diagnose and treat.
All Keywords
【저자키워드】 rituximab, dialysis, Posterior reversible encephalopathy syndrome, Microscopic Polyangiitis, cerebral aneurysm, Antineutrophil cytoplasmic antibody-associated vasculitis,
【저자키워드】 rituximab, dialysis, Posterior reversible encephalopathy syndrome, Microscopic Polyangiitis, cerebral aneurysm, Antineutrophil cytoplasmic antibody-associated vasculitis,