Posterior Reversible Encephalopathy Syndrome as a Simultaneous Manifestation of Guillain-Barr? Syndrome in an Elderly Female Patient

J Korean Neurol Assoc > Volume 32(4); 2014 > Article

Journal of the Korean Neurological Association 2014;32(4): 298-300.

여성 노인에서 길랭-바레증후군과 동시에 발생한 가역적후뇌병증

배대웅, 유상원 김승유 강일웅 안재영

가톨릭대학교 의과대학 신경과학교실

Posterior Reversible Encephalopathy Syndrome as a Simultaneous Manifestation of Guillain-Barr? Syndrome in an Elderly Female Patient

Dae Woong Bae

Department of Neurology, College of Medicine, The Catholic University of Korea, Suwon, Korea

Abstract

We report a 62-year-old woman with a simultaneous occurrence of posterior reversible encephalopathy syndrome (PRES) and Guillain-Barr? syndrome (GBS). The simultaneous presence of PRES in GBS is unusual and can easily escape recognition, with potentially serious consequences for the patient. Previous reports showed that the simultaneous or initial manifestation of PRES in GBS is more common in elderly female. The preponderance of female in older age may be due to age and gender related difference in sympathetic nerve activity. Key Words: Guillain-Barr? syndrome, Posterior reversible encephalopathy syndrome, Sympathetic nerve system