Stream of Consciousness

To the Editor: Blum and colleagues (April 5 issue) 1 report an interesting and instructive but unusual case of the posterior reversible encephalopathy syndrome (PRES) resulting from a common condition — obstructive uropathy related to benign prostatic hyperplasia. We would like to point out that the...

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Published inThe New England journal of medicine Vol. 379; no. 2; pp. 201 - 202
Main Authors Govani, Mahendra V, Jasuja, Deepak, Miller, Myrna B, Patel, Rajesh, Prust, Morgan L, Miller, Amy L
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 12.07.2018
Subjects
Consciousness
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ISSN0028-4793
1533-4406
1533-4406
DOI10.1056/NEJMc1806186

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Summary:To the Editor: Blum and colleagues (April 5 issue) 1 report an interesting and instructive but unusual case of the posterior reversible encephalopathy syndrome (PRES) resulting from a common condition — obstructive uropathy related to benign prostatic hyperplasia. We would like to point out that the diagnosis was delayed by approximately 48 hours because ultrasonographic examination of the urinary tract was not performed in a timely manner. Early exclusion of obstruction is emphasized as a time-tested teaching point in patients presenting with azotemia and uremia because prompt reversal or clinically significant improvement is common after a (usually) simple intervention if the . . .
Bibliography:SourceType-Scholarly Journals-1
ObjectType-Correspondence-1
ObjectType-Commentary-2
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ISSN:0028-4793
1533-4406
1533-4406
DOI:10.1056/NEJMc1806186