后部可逆脑病综合征:一个病例报告
Ibrahima Faye1, Fallou Galass Niang1,2, Moustapha Diedhiou2
1Medical Imaging Department Saint Louis Regional Hospital, Saint-Louis, Senegal.
Radiology case reports
|May 6, 2024
概括
后部可逆脑病综合征 (PRES) 可以在没有高血压的情况下发生. 这个案例突出了年轻女子的PRES,强调了它在非高血压个体中的潜在低诊断.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 内部医学 内部医学
背景情况:
- 后部可逆脑病综合征 (PRES) 的特征是可逆的神经损伤和明显的脑成像发现.
- 通常与血管活性物质,产后状态,高血压脑病变,孕前,孕后,免疫抑制剂和全身性疾病有关.
研究的目的:
- 在没有高血压的年轻女性患者中报告PRES病例.
- 为了强调PRES在正常压力个体中发生的可能性及其潜在的不足诊断.
主要方法:
- 一个40岁的女性患有头痛和的病例报告.
- 诊断成像包括脑部的CT扫描和MRI.
- 排除动脉瘤形和脑血栓炎.
主要成果:
- 扫描显示了双侧尾白质的低密度和右前额下垂体出血.
- 核磁共振扫描显示了头和额头区域的T2/FLAIR超强度,没有扩散限制或对比度增强.
- 患者的血压为130/70毫米升,表明血压正常.
结论:
- PRES是一种不常见的,可能被低诊断的疾病.
- 虽然高血压是常见的原因,但PRES可以发生在正常血压患者中,正如本案所示.
- 通过治疗获得了有利的结果.
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