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Posterior reversible encephalopathy syndrome and COVID-19: A series of 6 cases from Lombardy, Italy

Posterior reversible encephalopathy cases are increasingly being reported in patients affected by COVID-19, but the largest series so far only includes 4 patients. We present a series of 6 patients diagnosed with PRES during COVID-19 hospitalized in 5 Centers in Lombardia, Italy. 5 out of the 6 pati...

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Detalles Bibliográficos
Autores principales: Colombo, Antonio, Martinelli Boneschi, Filippo, Beretta, Sandro, Bresolin, Nereo, Versino, Maurizio, Lorusso, Lorenzo, Spagnoli, Diego, Nastasi, Giulia, Vallauri, Davide, Rota, Stefania, Repaci, Maria, Ferrarini, Massimo, Pozzato, Mattia, Princiotta Cariddi, Lucia, Tabaee Damavandi, Payam, Carimati, Federico, Banfi, Paola, Clemenzi, Alessandro, Marelli, Margherita, Giorgianni, Andrea, Vinacci, Gabriele, Mauri, Marco, Melzi, Paola, Di Stefano, Maria, Tetto, Antonio, Canesi, Margherita, Salmaggi, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7806512/
https://www.ncbi.nlm.nih.gov/pubmed/33490654
http://dx.doi.org/10.1016/j.ensci.2020.100306
Descripción
Sumario:Posterior reversible encephalopathy cases are increasingly being reported in patients affected by COVID-19, but the largest series so far only includes 4 patients. We present a series of 6 patients diagnosed with PRES during COVID-19 hospitalized in 5 Centers in Lombardia, Italy. 5 out of the 6 patients required intensive care assistence and seizures developed at weaning from assisted ventilation. 3 out of 6 patients underwent cerebrospinal fluid analysis which was normal in all cases, with negative PCR for Sars-CoV-2 genome search. PRES occurrence may be less rare than supposed in COVID-19 patients and a high suspicion index is warranted for prompt diagnosis and treatment.