Karande Sunil, Jagtap Sujit, Joshi Anagha
Division of Pediatric Neurology, Department of Pediatrics, Lokmanya Tilak Municipal Medical College & General Hospital, Mumbai, India.
Indian J Pediatr. 2009 Feb;76(2):218-20. doi: 10.1007/s12098-008-0224-1. Epub 2008 Dec 4.
Posterior reversible encephalopathy syndrome is a rare neuroradiologic condition associated with headache, seizures, altered sensorium, visual disturbances, and characteristic lesions on neuroimaging predominantly affecting the posterior regions of the brain. We report a 10-years-8-months-old girl who presented with headache, multiple seizures, and altered sensorium. Her blood pressure was 130/100 mmHg and left brachial pulse was not palpable. CT scan brain showed typical non-enhancing hypodensities in bilateral parieto-occiptal lobes. Prompt treatment of the hypertension led to rapid reversal of neurological symptoms. CT aortogram revealed aortoarteritis with bilateral renal artery stenosis.
后部可逆性脑病综合征是一种罕见的神经放射学疾病，与头痛、癫痫发作、意识改变、视觉障碍以及神经影像学上主要累及大脑后部区域的特征性病变相关。我们报告一名10岁8个月大的女孩，她出现头痛、多次癫痫发作和意识改变。她的血压为130/100 mmHg，左侧肱动脉搏动未触及。脑部CT扫描显示双侧顶枕叶有典型的无强化低密度影。对高血压的及时治疗导致神经症状迅速逆转。CT主动脉造影显示大动脉炎伴双侧肾动脉狭窄。
