後部可逆性脳性病症候群の症例で,胸椎脊髄の下部血腫を合併させた
Tamotsu Gotou1,2, Yuto Munemura1, Takahiro Hagihara1
1Department of Emergency and Critical Care Medicine, Tottori Prefectural Central Hospital, Tottori, JPN.
Cureus
|February 17, 2026
まとめ
後部逆転性脳病症候群 (PRES) は,脊髄血腫とともにまれに発生することがあります. 迅速な血圧制御と脳MRIは,この珍しい臨床シナリオでPRESの診断と管理に不可欠です.
科学分野:
- 神経学 神経学とは
- 放射線学 放射線学
- クリティカルケア・メディシン
背景:
- 後部可逆脳症候群 (後部可逆脳症候群,PRES) は,神経学的症状と特徴的な脳イメージングの発見によって特徴づけられる臨床放射線学的状態です.
- PRESの一般的な原因は知られているが,脊髄血腫との関連は極めてまれである.
研究 の 目的:
- PRESを合併する脊髄血腫の稀な症例を報告するためです.
- 潜在的なトリガーを強調し,迅速な診断と管理の重要性を強調する.
主な方法:
- 腰痛,高血圧,神経学的症状を呈する68歳の男性に関する症例報告.
- 診断作業には,胸脊髄MRIと脳MRIが含まれていました.
- 管理には,集中治療室のモニタリングと,継続的な抗高血圧注入と鎮痛薬/鎮静薬を含む.
主要な成果:
- 患者は重度の高血圧,発作,頭痛,視力障害を発症した.
- 胸部脊椎のMRIは脊髄の下部血腫を明らかにし,脳MRIはPRESを確認しました.
- 神経学的症状は,血圧のコントロールとサポートケアによって解決しました.
結論:
- PRESは,脊髄血腫の珍しいが可能な合併症です.
- 潜在的なトリガーは,痛みに関連した高血圧,自律機能不全,および流体不均衡を含む.
- 迅速な認識,血圧管理,脳イメージングは,脊髄血腫の患者でPRESが疑われる場合に不可欠です.
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