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可逆性后部白质脑病综合征1例报告并文献复习

张雯雯 赵莘瑜 滕军放

中国实用神经疾病杂志Issue(23):57-58,2.
中国实用神经疾病杂志Issue(23):57-58,2.

可逆性后部白质脑病综合征1例报告并文献复习

Case report of posterior reversible encephalopathy syndrome with literature review

张雯雯 1赵莘瑜 1滕军放1

作者信息

  • 1. 郑州大学第一附属医院神经内科 郑州 450052
  • 折叠

摘要

Abstract

Objective To investigate the common etiology ,mechanism ,clinical manifestation ,diagnosis and therapeutic options of the posterior reversible encephalopathy syndrome (PRES).Methods One PRES patient in puerperium with an onset of neurological manifestation was retrospectively reviewed.Results The patient with CNS symptoms and signs has good prog‐nosis after dehydration therapy.Conclusion PRES is a clinical syndrome caused by many reasons ,its main clinical manifesta‐tion is abnormal CNS.The common etiology includes malignant hypertension ,eclampsia ,all kinds of serious kidney disease , immunosuppressive drugs ,cytotoxic drugs ,and the treatment of autoimmune diseases and so on.Its form of onset is acute or subacute.It is varied from clinical manifestation.And the most common are headache ,seizures ,visual impairment ,conscious impairment and insanity.Clinical diagnosis is mainly based on the typical radiographic changes.Most imaging changes are re‐versible and can be disappear after 2 weeks or longer.It has a good prognosis after treatment.

关键词

可逆性后部白质脑病/产褥期

Key words

Posterior reversible encephalopathy syndrome(PRES)/Puerperium

分类

医药卫生

引用本文复制引用

张雯雯,赵莘瑜,滕军放..可逆性后部白质脑病综合征1例报告并文献复习[J].中国实用神经疾病杂志,2014,(23):57-58,2.

中国实用神经疾病杂志

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