Critical Care and Shock

Posterior reversible encephalopathy syndrome in association with fibromuscular dysplasia: a case report

Abstract

Posterior reversible encephalopathy syndrome is commonly associated with hypertension and hypertensive crisis. Clinical characteristics are headache, visual changes, altered mental status and seizures. There is a strong association with cytotoxic edema, which in most cases involve posterior areas of the brain. This syndrome usually resolves with prompt recognition and standard treatment of the triggering condition. We present the case of a 17-year-old man who developed posterior reversible encephalopathy syndrome associated with hypertensive crisis due to fibromuscular dysplasia of renal arteries.