Oyinloye O I, Adesiyun O A M, Atobatele M O, Fawole A A
Department of Radiology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Ann Afr Med. 2014 Jul-Sep;13(3):138-41. doi: 10.4103/1596-3519.134422.
Posterior reversible encephalopathy syndrome is a clinico-neuroradiologic diagnosis, with rapidly evolving neurologic condition, characterized by headache, confusion, altered mental status, seizures, cortical blindness, lethargy, stupor, and occasionally, focal neurological signs accompanied by a typical computed tomography or magnetic resonance imaging pattern. With early recognition and treatment, complete resolution of symptoms occurs. Typical imaging findings characteristically involve the white matter bilaterally in the parieto-occipital regions. Atypical imaging finding of contrast enhancement of lesion can occur, but is less common. A 20-year-old primiparous lady presented with posterior reversible encephalopathy syndrome. To the best of our knowledge, this is the first documented case in Nigeria. This case-report highlights the importance of recognizing the salient imaging features in this lethal but reversible entity with prompt management.
后部可逆性脑病综合征是一种临床神经放射学诊断，具有快速进展的神经系统状况，其特征为头痛、意识模糊、精神状态改变、癫痫发作、皮质盲、嗜睡、昏迷，偶尔伴有局灶性神经体征，并伴有典型的计算机断层扫描或磁共振成像表现。通过早期识别和治疗，症状可完全缓解。典型的影像学表现特征性地累及双侧顶枕叶区域的白质。病变出现对比增强的非典型影像学表现虽可发生，但较少见。一名20岁初产妇出现后部可逆性脑病综合征。据我们所知，这是尼日利亚首例有记录的病例。本病例报告强调了认识这一致命但可逆疾病的显著影像学特征并及时处理的重要性。
