Shure David, Pusey Frank O, Bryan Charles S
Providence Hospitals, Columbia, SC 29204, USA.
J S C Med Assoc. 2012 Aug;108(4):95-7.
A patient with diabetes mellitus who had recently been started on peritoneal dialysis presented with headaches, confusion, falling episodes, and multiple white matter abnormalities affecting the frontal, temporal, parietal, and occipital lobes on MRI of the brain. He developed stupor and frequent seizures despite control of hypertension with intravenous nicardipine. Diagnosis of atypical PRES and institution of successful empiric therapy was based on electronic searches (Google and MEDLINE) facilitated by verbal communication between and among the specialists involved in his care.
一名近期开始接受腹膜透析的糖尿病患者出现头痛、意识模糊、跌倒发作，脑部MRI显示额叶、颞叶、顶叶和枕叶有多处白质异常。尽管静脉注射尼卡地平控制了高血压，但他仍出现昏迷和频繁癫痫发作。非典型 PRES 的诊断及成功的经验性治疗是基于参与其治疗的专家之间通过口头交流进行的电子检索（谷歌和医学文献数据库）。
