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Acute encephalopathic syndrome with cerebellar involvement due to hypomagnesemia and arterial hypertension

Acute encephalopathic syndrome with cerebellar involvement due to hypomagnesemia and arterial... Acta Neurologica Belgica https://doi.org/10.1007/s13760-023-02265-3 LE T TER TO  THE   EDITOR Acute encephalopathic syndrome with cerebellar involvement due to hypomagnesemia and arterial hypertension 1 1 1 1 Thibault Fumery  · Manon Merschaert  · Sophie Jacobs  · Michel Gille Received: 24 January 2023 / Accepted: 4 April 2023 © The Author(s) under exclusive licence to Belgian Neurological Society 2023 We report on a case of acute encephalopathic syndrome with urapidil and magnesium supplementation was followed by a cerebellar ataxia and cerebellar white matter lesions on mag- recovery of the mental status, ataxia and dysarthria over the netic resonance imaging (MRI), due to hypomagnesemia next few days. Ten weeks later, the neurological examination and arterial hypertension, as a cerebellar variant of a pos- was normal and the MRI cerebellar lesions had disappeared terior reversible encephalopathic syndrome (PRES). PRES (Fig. 1b). is a neurological syndrome typically defined by headache, The diagnosis of PRES was evoked by the combination of confusion, visual symptoms, and seizures. The typical MRI an acute encephalopathy with cerebellar involvement, head- findings are consistent with vasogenic edema in the subcor - aches, and acute arterial hypertension. Other diagnoses such tical white matter, predominantly localized to the posterior as acute meningoencephalitis and Wernicke encephalopathy cerebral hemispheres. were ruled http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Neurologica Belgica Springer Journals

Acute encephalopathic syndrome with cerebellar involvement due to hypomagnesemia and arterial hypertension

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Publisher
Springer Journals
Copyright
Copyright © The Author(s) under exclusive licence to Belgian Neurological Society 2023
ISSN
0300-9009
eISSN
2240-2993
DOI
10.1007/s13760-023-02265-3
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Abstract

Acta Neurologica Belgica https://doi.org/10.1007/s13760-023-02265-3 LE T TER TO  THE   EDITOR Acute encephalopathic syndrome with cerebellar involvement due to hypomagnesemia and arterial hypertension 1 1 1 1 Thibault Fumery  · Manon Merschaert  · Sophie Jacobs  · Michel Gille Received: 24 January 2023 / Accepted: 4 April 2023 © The Author(s) under exclusive licence to Belgian Neurological Society 2023 We report on a case of acute encephalopathic syndrome with urapidil and magnesium supplementation was followed by a cerebellar ataxia and cerebellar white matter lesions on mag- recovery of the mental status, ataxia and dysarthria over the netic resonance imaging (MRI), due to hypomagnesemia next few days. Ten weeks later, the neurological examination and arterial hypertension, as a cerebellar variant of a pos- was normal and the MRI cerebellar lesions had disappeared terior reversible encephalopathic syndrome (PRES). PRES (Fig. 1b). is a neurological syndrome typically defined by headache, The diagnosis of PRES was evoked by the combination of confusion, visual symptoms, and seizures. The typical MRI an acute encephalopathy with cerebellar involvement, head- findings are consistent with vasogenic edema in the subcor - aches, and acute arterial hypertension. Other diagnoses such tical white matter, predominantly localized to the posterior as acute meningoencephalitis and Wernicke encephalopathy cerebral hemispheres. were ruled

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Acta Neurologica Belgica – Springer Journals

Published: Dec 1, 2023

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