Posterior Reversible Encephalopathy Syndrome (PRES)
Posterior Reversible Encephalopathy Syndrome (PRES)
Posterior Reversible Encephalopathy Syndrome (PRES)
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Patient RF<br />
44-year-old man with a history of metastatic renal cell carcinoma<br />
s/p debulking operation. Now with recurrent mass in left renal bed<br />
and metastasis to abdominal lymph nodes and lungs.<br />
Currently on Sutent (multiple RTK inhibitor) and<br />
Gemzar (nucleoside analogue).<br />
Presents with headache, fatigue, “word finding difficulties” and<br />
fluctuating mental status including periods of agitation and inability<br />
to recognize family. He is noted to have new onset hypertension<br />
(160s / 100s from a baseline of 130-140s/70-80s).
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