Author/Authors :
Soomro, Abdulsalam King Saud Bin Abdulaziz University for Health Sciences - King Abdulaziz Medical City - Department of Medicine, Saudi Arabia , Al Bahri, Raiya King Saud Bin Abdulaziz University for Health Sciences - King Abdulaziz Medical City - Department of Anesthesia, Saudi Arabia , Alhassan, Noor King Saud University - Department of Medicine, Saudi Arabia , Hejaili, Fayez F. King Saud Bin Abdulaziz University for Health Sciences - King Abdulaziz Medical City - Department of Medicine, Saudi Arabia , Al Sayyari, Abdulla A. King Saud Bin Abdulaziz University for Health Sciences - King Abdulaziz Medical City - Department of Medicine, Saudi Arabia
Abstract :
We report what we believe is the first case of posterior reversible encephalopathy syndrome (PRES) secondary to dialysis disequilibrium syndrome (DDS) in patients in whom all other possible causes of PRES were excluded and in whom a transient episode of tactile hallucination also occurred. We believe that this case of DDS was particularly severe,leading to PRES because of the late institution of dialysis therapy and the concomitant severe degree of metabolic acidosis on presentation.