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可逆性高血压性脊髓病——后可逆性脑病综合征的脊髓型

Reversible Hypertensive Myelopathy-The Spinal Cord Variant of Posterior Reversible Encephalopathy Syndrome.

作者信息

Gocmen Rahsan, Ardicli Didem, Erarslan Yasin, Duzova Ali, Anlar Banu

机构信息

Department of Radiology, Hacettepe University, Ankara, Turkey.

Department of Pediatric Neurology, Hacettepe University, Ankara, Turkey.

出版信息

Neuropediatrics. 2017 Apr;48(2):115-118. doi: 10.1055/s-0036-1597612. Epub 2016 Dec 29.

Abstract

The posterior reversible encephalopathy syndrome (PRES) is a well-known clinical and radiologic entity mainly affecting the territory of the posterior cerebral circulation. Spinal cord involvement is extremely rare, and as of yet, only a few cases have been reported in the literature. The present case describes a reversible, longitudinal spinal cord lesion in a patient with high blood pressure. We discuss the differential diagnosis of longitudinal myelopathy and focus on the clinical presentation, diagnosis, and management of the "spinal cord variant of PRES."

摘要

后部可逆性脑病综合征(PRES)是一种广为人知的临床和影像学实体,主要影响大脑后循环区域。脊髓受累极为罕见,截至目前,文献中仅报道了少数病例。本病例描述了一名高血压患者出现的可逆性纵向脊髓病变。我们讨论了纵向脊髓病的鉴别诊断,并重点关注“PRES脊髓变异型”的临床表现、诊断和管理。

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