Posterior Reversible Encephalopathy Syndrome after caudal epidural steroid ınjection: A case report

Abstract

Background: Caudal epidural injections are easy, effective, and safe methods and are good options for patients with low back pain and radicular lower extremity pain. Although various complications related to the technique of the procedure or the drugs used in the procedure have been described, Posterior Reversible Encephalopathy Syndrome (PRES) has not yet been defined for this intervention.Case: In this case report, we describe a case of PRES, which we supported with MRI findings in our patient who developed convulsions, changes in consciousness, and vision loss after being administered with caudal epidural steroid, and whose imaging findings regressed with the regression of clinical symptoms during the treatment process. Conclusion:Although PRES is rarely reported, it should be kept in mind that it is a complication that can develop after caudal epidural steroid injection. K E Y W O R D S caudal epidural injection, low back pain, posterior reversible encephalopathy syndrome (PRES), postlaminectomy syndrome

Lupus nephritis with posterior reversible encephalopathy syndrome as the first manifestation

“…The lesions are mainly located in the occipital lobe, appear bilaterally or unilaterally and can also involve other brain regions, including frontal, infratemotemporal, cerebellum and brainstem regions. 3 , 4 Lupus nephritis with PRES as the first manifestation is relatively rare and has not been widely reported in the literature. The clinical and imaging features of patients in the PRES are usually reversible.…”