Ann Clin Neurophysiol.  2022;24(2):93-97. 10.14253/acn.2022.24.2.93.

Exercise-induced rhabdomyolysis with acute kidney injury complicated by posterior reversible encephalopathy syndrome: a case report

• Kim SM
• Lee YJ
• Heo CM
• Park SH
• Park KM
• Ko JH
• Park BS
• Kim YW

• KMID: 2535726
• DOI: http://doi.org/10.14253/acn.2022.24.2.93

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a rare condition manifested by inflammation in certain areas of the brain. Rhabdomyolysis with acute kidney injury (AKI) complicated by PRES is rarely reported. A 26-year-old female presented with neurological symptoms, high blood pressure, and AKI. Her symptoms improved with blood pressure control, anticonvulsant drug medications, and renal replacement therapy. This case demonstrates that PRES should be considered in the differential diagnosis of patients who have rhabdomyolysis with AKI accompanied by neurological symptoms, including headaches and convulsions.

Keyword

Rhabdomyolysis; Acute kidney injury; Posterior reversible encephalopathy syndrome

Figure

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  Fig. 1. Blood pressure and creatinine level changes during hospitalization. HOD, hospital of day; QOD, every other day.

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  Fig. 2. Initial diffusion-weighted magnetic resonance imaging of the brain showed increased fluid-attenuated inversion-recovery signals at the bilateral occipital lobes and bilateral posterior parietal lobes.

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  Fig. 3. Initial brain computed tomography revealed subarachnoid hemorrhage at the right frontoparietal sulci.

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  Fig. 4. Follow-up diffusion-weighted magnetic resonance imaging of the brain showed decreased fluid-attenuated inversion-recovery signals at the bilateral cerebral hemispheres and bilateral parieto-occipital lobes.

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