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无任何基础疾病的小儿患者颅脑外伤手术后的后部可逆性脑病综合征

Posterior Reversible Encephalopathy Syndrome after Head Trauma Surgery in Pediatric Patient without Any Underlying Disease.

作者信息

Yoon Jae Eon, Lee Cheol Young, Kim Hyun Woo

机构信息

Department of Neurosurgery, Konyang University Hospital, Konyang University Collge of Medicine, Daejeon, Korea.

出版信息

Korean J Neurotrauma. 2017 Oct;13(2):167-170. doi: 10.13004/kjnt.2017.13.2.167. Epub 2017 Oct 31.

DOI:10.13004/kjnt.2017.13.2.167
PMID:29201855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5702756/
Abstract

Posterior reversible encephalopathy syndrome (PRES) is a neurological disorder characterized by signs of posterior cerebral edema upon radiographic examination. A 16-year-old girl was involved in motorcycle accident and depressed frontal fracture was presented. She had generalized seizures 3 days after dural repair and fracture reduction. Signal changes was noted on both parietal lobes in the magnetic resonance images and it was completely resolved in 3 months follow-up. We would like to present the case that demonstrated PRES related hypertension after head trauma surgery for cerebrospinal fluid leakage in pediatric patient without any underlying disease.

摘要

后部可逆性脑病综合征（PRES）是一种神经系统疾病，其特征为影像学检查显示后脑水肿迹象。一名16岁女孩遭遇摩托车事故，出现额骨凹陷性骨折。在硬脑膜修复和骨折复位术后3天，她出现全身性癫痫发作。磁共振成像显示双侧顶叶有信号改变，在3个月的随访中完全消失。我们想介绍这例儿科患者在无任何基础疾病的情况下，因脑脊液漏行颅脑外伤手术后出现与PRES相关的高血压的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/07655a388170/kjn-13-167-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/fb699563e61f/kjn-13-167-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/8d27ed8a155e/kjn-13-167-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/aa6597680ab5/kjn-13-167-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/07655a388170/kjn-13-167-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/fb699563e61f/kjn-13-167-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/8d27ed8a155e/kjn-13-167-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/aa6597680ab5/kjn-13-167-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e398/5702756/07655a388170/kjn-13-167-g004.jpg

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本文引用的文献

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Neurocrit Care. 2017 Feb;26(1):103-108. doi: 10.1007/s12028-016-0320-4.
2
Posterior Reversible Encephalopathy Syndrome Secondary to CSF Leak and Intracranial Hypotension: A Case Report and Literature Review.脑脊液漏和颅内低压继发的后部可逆性脑病综合征：一例报告及文献综述
Case Rep Neurol Med. 2015;2015:538523. doi: 10.1155/2015/538523. Epub 2015 May 27.
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Childhood posterior reversible encephalopathy syndrome.
脑脊液容量减少与后部可逆性脑病综合征
Front Neurol. 2020 Jun 23;11:591. doi: 10.3389/fneur.2020.00591. eCollection 2020.
儿童后部可逆性脑病综合征。
Eur J Paediatr Neurol. 2011 Mar;15(2):91-4. doi: 10.1016/j.ejpn.2010.10.002. Epub 2010 Nov 11.
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Recurrent and atypical posterior reversible encephalopathy syndrome in a child with peritoneal dialysis.一名接受腹膜透析的儿童出现复发性非典型后部可逆性脑病综合征。
Turk J Pediatr. 2010 Jul-Aug;52(4):416-9.
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