Fitzgerald Ryan T, Santoro Jarod, Hinduja Archana, Samant Rohan S, Kumar Manoj, Angtuaco Edgardo J
Departments of *Radiology ‡Neurology †College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR §Department of Neurology, Ohio State University, Columbus, OH.
Neurologist. 2017 Mar;22(2):41-43. doi: 10.1097/NRL.0000000000000103.
Epilepsy is very rarely attributed to posterior reversible encephalopathy syndrome (PRES). We report the case of a previously healthy 21-year-old who developed epilepsy with mesial temporal sclerosis following an episode of PRES related to a complicated Cesarean delivery. Neuroimaging at the time of PRES and 3 months after revealed the development of unilateral hippocampal volume loss following resolution of acute PRES-related brain edema. We discuss the incidence and importance of "non-reversible" sequelae of PRES and their implications for patient care.
癫痫很少被归因于后部可逆性脑病综合征(PRES)。我们报告了一例病例,一名21岁既往健康的患者,在一次与复杂剖宫产相关的PRES发作后,出现了伴有内侧颞叶硬化的癫痫。PRES发作时及发作后3个月的神经影像学检查显示,急性PRES相关脑水肿消退后出现了单侧海马体积缩小。我们讨论了PRES“不可逆”后遗症的发生率和重要性及其对患者护理的影响。