AI Article Synopsis
- Seizures after CSF rhinorrhoea or skull base surgery typically indicate postoperative meningoencephalitis unless proven otherwise.
- A case is presented of a woman in her 40s who had surgery for a CSF fistula and experienced seizure on the eighth day afterward, leading to a diagnosis of posterior reversible encephalopathy syndrome (PRES).
- Early detection and treatment of PRES allowed for her full recovery, highlighting the need for considering this diagnosis in similar cases to avoid serious health complications.
Article Abstract
Seizure following cerebrospinal fluid (CSF) rhinorrhoea surgery or surgery of the skull base almost always implies postoperative meningoencephalitis, unless proven otherwise. Here, we present the case of a middle-aged female in her 40's who underwent surgical CSF fistula closure and developed seizure on the eighth postoperative day. She was diagnosed to have posterior reversible encephalopathy syndrome (PRES). Early diagnosis and prompt initiation of treatment ensured that she had a complete recovery. Although not reported in the literature, PRES should always be a differential diagnosis in such situations, as delay in diagnosis may result in significant morbidity and rarely mortality.
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| http://dx.doi.org/10.1136/bcr-2024-261056 | DOI Listing |
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