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双侧枕叶出血表现为后可逆性脑病综合征中的失明否认症——安通综合征与脑病的罕见组合

Bilateral Occipital Lobe Hemorrhages Presenting as Denial of Blindness in Posterior Reversible Encephalopathy Syndrome- A Rare Combination of Anton Syndrome and Encephalopathy.

作者信息

Godasi Raja, Rupareliya Chintan, Bollu Pradeep C

机构信息

Department of Neurology, University of Missouri, Columbia, Missouri.

出版信息

Cureus. 2017 Oct 4;9(10):e1746. doi: 10.7759/cureus.1746.

DOI:10.7759/cureus.1746
PMID:29218261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5714403/
Abstract

Posterior reversible encephalopathy syndrome (PRES) or reversible posterior leukoencephalopathy (RPL) is an acute neurological syndrome characterized by the development of radiological abnormalities on brain imaging along with clinical manifestations, such as a headache, seizures, encephalopathy, etc. We report the case of a middle-aged male who presented to the emergency department after he woke up with complete blindness and was found to have hemorrhagic PRES. Intracranial hemorrhages were seen in around 15% of patients who presented with this condition. In this article, we review the different types of hemorrhages seen in the setting of PRES and their associations.

摘要

后部可逆性脑病综合征(PRES)或可逆性后部白质脑病(RPL)是一种急性神经综合征,其特征是脑成像出现放射学异常并伴有头痛、癫痫发作、脑病等临床表现。我们报告一例中年男性病例,该患者醒来后完全失明,随后到急诊科就诊,被诊断为出血性PRES。患有这种疾病的患者中约15%会出现颅内出血。在本文中,我们回顾了在PRES情况下所见的不同类型出血及其关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/559809810824/cureus-0009-00000001746-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/14fd7c5485c6/cureus-0009-00000001746-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/9c1e7d6059fa/cureus-0009-00000001746-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/61e61c411abb/cureus-0009-00000001746-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/559809810824/cureus-0009-00000001746-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/14fd7c5485c6/cureus-0009-00000001746-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/9c1e7d6059fa/cureus-0009-00000001746-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/61e61c411abb/cureus-0009-00000001746-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acf/5714403/559809810824/cureus-0009-00000001746-i04.jpg

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本文引用的文献

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Hemorrhage in posterior reversible encephalopathy syndrome: imaging and clinical features.后部可逆性脑病综合征中的出血:影像学及临床特征
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