Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review
Background. Hypomagnesemia can cause various unspecific neurological complications, which can lead to diagnostic confusion. One of these complications is the posterior reversible encephalopathy syndrome (PRES), which is extremely uncommon and has been reported only twice in the English-language lite...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/1980638 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832548490892279808 |
|---|---|
| author | Mohamad Almoussa Angelika Goertzen Stephan Brauckmann Barbara Fauser Christoph W. Zimmermann |
| author_facet | Mohamad Almoussa Angelika Goertzen Stephan Brauckmann Barbara Fauser Christoph W. Zimmermann |
| author_sort | Mohamad Almoussa |
| collection | DOAJ |
| description | Background. Hypomagnesemia can cause various unspecific neurological complications, which can lead to diagnostic confusion. One of these complications is the posterior reversible encephalopathy syndrome (PRES), which is extremely uncommon and has been reported only twice in the English-language literature. Case presentation. We report the case of a 60-year-old man who presented with PRES involving only the cerebellar hemispheres and associated with hypomagnesemia. After excluding all the other possible etiologies of PRES, we started magnesium replacement therapy, which led to a remarkable but fluctuating clinical and chemical improvement. A full recovery with no need for further supplementation was achieved only after discontinuation of a proton pump inhibitor. Conclusions. This case highlights the role of magnesium in the pathophysiology of PRES; thereby, underlying hypomagnesemia should be considered in every PRES case with unclear etiology. |
| format | Article |
| id | doaj-art-c60f9aae073441ecabff833bc745e34f |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-c60f9aae073441ecabff833bc745e34f2025-02-03T06:14:03ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/19806381980638Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature ReviewMohamad Almoussa0Angelika Goertzen1Stephan Brauckmann2Barbara Fauser3Christoph W. Zimmermann4Department of Neurology, St. Josef Hospital, The Academic Hospital of Duisburg-Essen University, Mülheimer Strasse 83, 46045 Oberhausen, GermanyDepartment of Neurology, St. Josef Hospital, The Academic Hospital of Duisburg-Essen University, Mülheimer Strasse 83, 46045 Oberhausen, GermanyDepartment of Neurology, St. Josef Hospital, The Academic Hospital of Duisburg-Essen University, Mülheimer Strasse 83, 46045 Oberhausen, GermanyDepartment of Neurology, St. Josef Hospital, The Academic Hospital of Duisburg-Essen University, Mülheimer Strasse 83, 46045 Oberhausen, GermanyDepartment of Neurology, St. Josef Hospital, The Academic Hospital of Duisburg-Essen University, Mülheimer Strasse 83, 46045 Oberhausen, GermanyBackground. Hypomagnesemia can cause various unspecific neurological complications, which can lead to diagnostic confusion. One of these complications is the posterior reversible encephalopathy syndrome (PRES), which is extremely uncommon and has been reported only twice in the English-language literature. Case presentation. We report the case of a 60-year-old man who presented with PRES involving only the cerebellar hemispheres and associated with hypomagnesemia. After excluding all the other possible etiologies of PRES, we started magnesium replacement therapy, which led to a remarkable but fluctuating clinical and chemical improvement. A full recovery with no need for further supplementation was achieved only after discontinuation of a proton pump inhibitor. Conclusions. This case highlights the role of magnesium in the pathophysiology of PRES; thereby, underlying hypomagnesemia should be considered in every PRES case with unclear etiology.http://dx.doi.org/10.1155/2018/1980638 |
| spellingShingle | Mohamad Almoussa Angelika Goertzen Stephan Brauckmann Barbara Fauser Christoph W. Zimmermann Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review Case Reports in Medicine |
| title | Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review |
| title_full | Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review |
| title_fullStr | Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review |
| title_full_unstemmed | Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review |
| title_short | Posterior Reversible Encephalopathy Syndrome due to Hypomagnesemia: A Case Report and Literature Review |
| title_sort | posterior reversible encephalopathy syndrome due to hypomagnesemia a case report and literature review |
| url | http://dx.doi.org/10.1155/2018/1980638 |
| work_keys_str_mv | AT mohamadalmoussa posteriorreversibleencephalopathysyndromeduetohypomagnesemiaacasereportandliteraturereview AT angelikagoertzen posteriorreversibleencephalopathysyndromeduetohypomagnesemiaacasereportandliteraturereview AT stephanbrauckmann posteriorreversibleencephalopathysyndromeduetohypomagnesemiaacasereportandliteraturereview AT barbarafauser posteriorreversibleencephalopathysyndromeduetohypomagnesemiaacasereportandliteraturereview AT christophwzimmermann posteriorreversibleencephalopathysyndromeduetohypomagnesemiaacasereportandliteraturereview |