Thambisetty Madhav, Biousse Valerie, Newman Nancy J
Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
J Neurol Sci. 2003 Apr 15;208(1-2):93-9. doi: 10.1016/s0022-510x(02)00379-9.
Reversible posterior leukoencephalopathy syndrome associated with hypertension rarely presents with predominant involvement of the brainstem and relative sparing of the supratentorial regions. We describe the clinical and neuroimaging features of three patients with reversible hypertensive brainstem encephalopathy. Headache and confusion in the setting of severe hypertension, with a relative paucity of brainstem signs and symptoms, despite extensive neuroimaging abnormalities in the brainstem support the diagnosis. The clinical findings and neuroimaging abnormalities resolve with treatment of the hypertension, further distinguishing this syndrome from brainstem infarction.
与高血压相关的可逆性后部白质脑病综合征很少以脑干受累为主且幕上区域相对 spared 出现。我们描述了三例可逆性高血压脑干脑病患者的临床和神经影像学特征。在严重高血压情况下出现头痛和意识模糊，尽管脑干有广泛的神经影像学异常，但脑干体征和症状相对较少，这支持了诊断。随着高血压的治疗，临床发现和神经影像学异常得以缓解，这进一步将该综合征与脑干梗死区分开来。
原文中“sparing”有误，推测应为“spared”，翻译为“ spared 未受影响的；幸免的” 。上述译文按推测后的正确内容翻译。 若原文无误，可追问以便给出更准确译文。
