PRES SYNDROME (REVERSIBLE POSTERIOR ENCEPHALOPATHY SYNDROME) IN A PATIENT WITH CHRONIC KIDNEY DISEASE (CKD)

A clinical case from practice is described: posterior reversible encephalopathy syndrome in a patient with CKD. Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological condition with an acute or subacute neurological manifestation associated with the presence of brain lesions, with a predominant lesion of the white matter of the posterior parts of the brain. PRES is mainly associated with severe arterial hypertension or renal insufficiency (acute or chronic), and this syndrome can also develop in patients with eclampsia, vasculitis and connective tissue diseases, blood diseases, liver diseases, as well as with hypercalcemia, the use of erythropoietin and a wide range of immunosuppressive or cytotoxic drugs. This condition is completely reversible with timely diagnosis and proper therapy, as a result, careful monitoring of patients at risk helps to prevent possible irreversible complications of PRES syndrome.