Posterior Reversible Encephalopathy Syndrome (PRES) in a Patient with Opioid Use Disorder

We report the case of a 36-year-old male with a history of heroin use disorder, who was admitted to our hospital for opioid withdrawal. CT head without contrast and MRI with and without gadolinium showed significant white matter disease in both cerebral hemispheres and cerebellum. He was diagnosed with Posterior Reversible Encephalopathy Syndrome secondary to heroin use and managed on the medical floor in collaboration with the neurology team. His clinical symptoms improved and he was discharged after six weeks. To our knowledge, this case did not present with the risk factors for PRES reported in the literature. For patients with heroin use disorder who present with an altered mental status, PRES should be highly suspected. The diagnosis and management require collaboration between psychiatry and neurology.PMID:34221530 | PMC:PMC8225411 | DOI:10.1155/2021/9999481

Source: Case Reports in Psychiatry - July 5, 2021 Category: Psychiatry Authors: Terence Tumenta Samuel Adeyemo Oluwatoyin Oladeji Oluwole Jegede Bordes Laurent Tolu Olupona Source Type: research