后可逆性脑病综合征揭示急性链球菌感染后肾小球肾炎。

Posterior reversible encephalopathy syndrome revealing acute post-streptococcal glomerulonephritis.

作者信息

Aeby Alec, David Philippe, Fricx Christophe, Jissendi Patrice, Blecic Serge, Van Bogaert Patrick

机构信息

Department of Pediatric Neurology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.

出版信息

J Child Neurol. 2006 Mar;21(3):250-1. doi: 10.2310/7010.2006.00057.

DOI:10.2310/7010.2006.00057

PMID:16901429

Abstract

A case of acute encephalopathy with posterior corticosubcortical vasogenic edema on magnetic resonance imaging is reported. Angiography showed cerebral arterial vasospasm. A diagnosis of acute post-streptococcal glomerulonephritis was made 2 days after admission. This report highlights the fact that acute post-streptococcal glomerulonephritis can be revealed by a posterior reversible encephalopathy syndrome and that cerebral vasospasm can concur with vasogenic edema in this condition.

摘要

报告了一例磁共振成像显示后皮质下血管源性水肿的急性脑病病例。血管造影显示脑动脉血管痉挛。入院2天后诊断为急性链球菌感染后肾小球肾炎。本报告强调了急性链球菌感染后肾小球肾炎可通过后部可逆性脑病综合征表现出来，且在此情况下脑血管痉挛可与血管源性水肿并存这一事实。