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- Nupur Karan, V J Ramesh, and Vidya Sriram.
- From the Department of Neuroanaesthesiology and Neurocritical Care, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
- A A Pract. 2022 May 1; 16 (5): e01590.
AbstractThe development of posterior reversible encephalopathy syndrome (PRES) in a patient undergoing epilepsy surgery without perioperative hypertension is uncommon. A young man having epilepsy surgery with normal blood pressures had an unexplained drop in his processed electroencephalogram (pEEG) levels intraoperatively. This alerted and prompted us to search for the cause. A postoperative electroencephalogram (EEG) confirmed a diffuse slowing of cortical waves. The intraoperative findings of pEEG, magnetic resonance imaging (MRI), and EEG postoperatively prompted a diagnosis of PRES. The patient was managed conservatively and had a full recovery. This case report highlights the role of brain electrical activity monitors in PRES.Copyright © 2022 International Anesthesia Research Society.
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