Posterior reversible encephalopathy syndrome in a patient with diabetic ketonuria

Authors

  • Ishwor Sharma Department of Internal Medicine, ADK Hospital, Maldives
  • Prakash Banjade Medical Officer, Department of Internal Medicine, Gan Regional Hospital, Maldives
  • Sasikumar Atthipalayam Chellamuthu Department of Neurology, ADK Hospital, Maldives
  • Faisal Saeed Department of Quality improvement, Women’s and Children’s Health Network, SA Health, Adelaide, Australia
  • Prajut Dallakoti Medical Officer, Gajuri Primary Health Center, Ministry of Health Government of Nepal, Nepal

DOI:

https://doi.org/10.3126/jkmc.v8i4.32390

Keywords:

Cortical blindness; Diabetes mellitus; Posterior reversible encephalopathy syndrome

Abstract

Posterior reversible encephalopathy syndrome is a condition presenting with non-specific symptoms like nausea, vomiting and headache along with neurological manifestations like altered mental status, seizure, visual impairment and even coma. These symptoms are coupled with characteristic radiological findings of vasogenic edema in the bilateral parieto-occipital lobe which is usually reversible. We present here, a young 30 years old male, with dizziness, vomiting, generalized weakness, altered mental status with cortical blindness and focal and generalized tonic-clonic seizures in the background of first presentation of type 2 diabetes mellitus with ketonuria. Characteristic findings in Magnetic Resonance Imaging and reversal of the symptoms helped to reach the diagnosis of posterior reversible encephalopathy syndrome in our patient. The patient was discharged in stable condition after reversal of the symptoms and treatment of type 2 diabetes mellitus.

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Published

2020-10-21

How to Cite

Sharma, I., Banjade, P., Chellamuthu, S. A., Saeed, F., & Dallakoti, P. (2020). Posterior reversible encephalopathy syndrome in a patient with diabetic ketonuria. Journal of Kathmandu Medical College, 8(4), 231–234. https://doi.org/10.3126/jkmc.v8i4.32390

Issue

Vol. 8 No. 4 (2019)

Section

Case Reports

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