Published online Apr 16, 2016. doi: 10.12998/wjcc.v4.i4.103
Peer-review started: November 15, 2015
First decision: December 22, 2015
Revised: January 3, 2016
Accepted: January 29, 2016
Article in press: January 31, 2016
Published online: April 16, 2016
Posterior reversible encephalopathy syndrome (PRES) is a clinico-ragiological syndrome presenting with neurological symptoms and characteristic radiologic findings. PRES occurs in the setting of various clinical conditions and requires prompt management of the causative factor for a full recovery. This is a case report of a Crohn’s disease patient who developed PRES syndrome during a complicated post-operative course. In the presence of multiple causative factors, sepsis was considered as the predominant one. After prompt management, the patient recovered with no permanent neurological damage.
Core tip: We present the case of a Crohn’s disease patient who suffered posterior reversible encephalopathy syndrome in the setting of a troublesome post-operative course. The etiology has not been clarified, since various contributing factors existed, however sepsis represents the predominant reason. The patient was diagnosed early, since neurological consult was seeked immediately, and after prompt management, he fully recovered without neurological deficits. Our goal is to stress out the importance of clinical suspicion in such cases, as the post-operative course in a Crohn’s disease patient can often be perplexed and challenging.