Maldonado-Rivera Sandra N, Valle-Marín Glorydela, Santiago-Casiano Mónica, Camargo Edinson, Palermo Coromoto, Grant Trevor, Hernán Martínez José
Internal Medicine Program, San Juan City Hospital, San Juan, Puerto Rico.
Bol Asoc Med P R. 2011 Apr-Jun;103(2):55-8.
This is the case of a 32 year-old-male with chronic kidney disease in hemodialysis who presented with uncontrolled blood pressure after admission to the hospital further complicated with seizures. Head CT-Scan revealed hypodensives areas in sub-cortical white matter and parietal-occipital lobes. Posterior reversible leukoencephalopathy syndrome (PRES) was diagnosed by radiologic findings. The underlying cause of PRES was treated with good resolution of hypodensives areas. Good prognostic outcome of PRES depends on prompt recognition and treatment to avoid excessive morbidity and/or mortality.
这是一名32岁男性慢性肾病患者的病例，该患者在接受血液透析治疗，入院后血压控制不佳，进而并发癫痫发作。头部CT扫描显示皮质下白质及顶枕叶出现低密度区。根据影像学检查结果诊断为后部可逆性白质脑病综合征（PRES）。针对PRES的潜在病因进行治疗后，低密度区得到了很好的缓解。PRES的良好预后取决于及时的识别和治疗，以避免过高的发病率和/或死亡率。
