Conference Paper: Posterior Reversible Encephalopathy Syndrome: paediatric heart transplant with cyclosporine neurotoxicity

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TitlePosterior Reversible Encephalopathy Syndrome: paediatric heart transplant with cyclosporine neurotoxicity
AuthorsTso, WWY
Yung, AWY
Lun, KS
Yung, TC
Fan, K
Wong, VCN
KeywordsMedical sciences
Issue Date2009
PublisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org.hk
CitationThe 1st Hong Kong Neurological Congress cum 22nd Annual Scientific Meeting of the Hong Kong Neurological Society, Hong Kong, 6-8 November 2009. In Hong Kong Medical Journal, 2009, v. 15 n. 6, suppl. 7, p. 42, abstract P8 [How to Cite?]
AbstractPosterior reversible encephalopathy syndrome (PRES) is associated with a specific disorder of cerebrovascular autoregulation. Clinical features of PRES consisted of headache, decreased consciousness, altered mental functioning, seizures, visual loss or cortical blindness. Characteristic findings on neuroimaging included high signal intensity on T2-weighted as well as diffusion-weighted imaging MRI in the posterior cerebral hemispheres, indicative of vasogenic subcortical oedema without infarction. Cyclosporine neurotoxicity had been described following bone marrow and organ transplantation; however, there are few reports of PRES in children especially post-paediatric heart transplantation. We report a case of cyclosporine-related PRES in a paediatric heart transplant recipient. She made a good recovery with no residual neurological deficits after withdrawal of cyclosporine, control of possible risk factors as well as symptomatic control of seizure.
DescriptionPosters: P8
ISSN1024-2708
2011 SCImago Journal Rankings: 0.054
DC Field
Value
dc.contributor.authorTso, WWY
dc.contributor.authorYung, AWY
dc.contributor.authorLun, KS
dc.contributor.authorYung, TC
dc.contributor.authorFan, K
dc.contributor.authorWong, VCN
dc.date.accessioned2010-10-31T12:51:07Z
dc.date.available2010-10-31T12:51:07Z
dc.date.issued2009
dc.description.abstractPosterior reversible encephalopathy syndrome (PRES) is associated with a specific disorder of cerebrovascular autoregulation. Clinical features of PRES consisted of headache, decreased consciousness, altered mental functioning, seizures, visual loss or cortical blindness. Characteristic findings on neuroimaging included high signal intensity on T2-weighted as well as diffusion-weighted imaging MRI in the posterior cerebral hemispheres, indicative of vasogenic subcortical oedema without infarction. Cyclosporine neurotoxicity had been described following bone marrow and organ transplantation; however, there are few reports of PRES in children especially post-paediatric heart transplantation. We report a case of cyclosporine-related PRES in a paediatric heart transplant recipient. She made a good recovery with no residual neurological deficits after withdrawal of cyclosporine, control of possible risk factors as well as symptomatic control of seizure.
dc.description.naturepublished_or_final_version
dc.descriptionPosters: P8
dc.description.otherThe 1st Hong Kong Neurological Congress cum 22nd Annual Scientific Meeting of the Hong Kong Neurological Society, Hong Kong, 6-8 November 2009. In Hong Kong Medical Journal, 2009, v. 15 n. 6, suppl. 7, p. 42, abstract P8
dc.identifier.citationThe 1st Hong Kong Neurological Congress cum 22nd Annual Scientific Meeting of the Hong Kong Neurological Society, Hong Kong, 6-8 November 2009. In Hong Kong Medical Journal, 2009, v. 15 n. 6, suppl. 7, p. 42, abstract P8 [How to Cite?]
dc.identifier.epage42
dc.identifier.hkuros168167
dc.identifier.issn1024-2708
2011 SCImago Journal Rankings: 0.054
dc.identifier.issue6, suppl. 7
dc.identifier.spage42
dc.identifier.urihttp://hdl.handle.net/10722/126830
dc.identifier.volume15
dc.languageeng
dc.publisherHong Kong Academy of Medicine Press. The Journal's web site is located at http://www.hkmj.org.hk
dc.publisher.placeHong Kong
dc.relation.ispartofHong Kong Medical Journal
dc.rightsHong Kong Medical Journal. Copyright © Hong Kong Academy of Medicine Press.
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
dc.subjectMedical sciences
dc.titlePosterior Reversible Encephalopathy Syndrome: paediatric heart transplant with cyclosporine neurotoxicity
dc.typeConference_Paper