Seizure as an Initial Presentation for Posterior Reversible Encephalopathy Syndrome in Undiagnosed Systemic Lupus Erythematosus and Lupus Nephritis: A Case Report

Authors

Ethan Hartman, University of Central FloridaFollow
Kubra Tuna, HCA HealthcareFollow
Elio P. Monsour MD, HCA HealthcareFollow
Karthikram Komanduri, HCA HealthcareFollow
Aneta Tarasiuk-Rusek, HCA HealthcareFollow

Division

North Florida

Hospital

Ocala Regional Medical Center

Document Type

Case Report

Publication Date

9-2-2020

Keywords

seizure, systemic lupus erythematosus, sle, posterior reversible encephalopathy syndrome, pres, lupus nephritis, hypertension

Disciplines

Immune System Diseases | Nephrology | Nervous System Diseases | Neurology | Rheumatology | Skin and Connective Tissue Diseases

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a syndrome presenting with neurological manifestations including headaches, seizures, and notable changes in brain imaging. It is typically associated with an acute increase in blood pressure, metabolic abnormalities, and/or medication effects. PRES is challenging to diagnose due to its variable presentation and low incidence. Herein we describe a compelling case of PRES syndrome secondary to uncontrolled hypertension in the setting of systemic lupus erythematosus (SLE) and lupus nephritis.

Publisher or Conference

Cureus

Recommended Citation

Hartman E N, Tuna K, Monsour E, et al. (September 02, 2020) Seizure as an Initial Presentation for Posterior Reversible Encephalopathy Syndrome in Undiagnosed Systemic Lupus Erythematosus and Lupus Nephritis: A Case Report. Cureus 12(9): e10195. doi:10.7759/cureus.10195