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吉兰-巴雷综合征恢复期后可逆性脑病综合征的罕见表现。

A Rare Presentation of Posterior Reversible Encephalopathy Syndrome in Recovery Phase of Guillain-Barré Syndrome.

作者信息

Lohiya Sham, Damke Sachin, Lakhkar Bhavana, Choudhary Richa

机构信息

Department of Pediatrics, JNMC, Wardha, Maharashtra, India.

出版信息

Int J Appl Basic Med Res. 2020 Oct-Dec;10(4):286-288. doi: 10.4103/ijabmr.IJABMR_371_19. Epub 2020 Oct 7.

DOI:10.4103/ijabmr.IJABMR_371_19
PMID:33376705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7758787/
Abstract

Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological syndrome, in which a patient presents with neurological symptoms, including headache, seizures, altered sensorium, and loss of vision, and accompanied with characteristic magnetic resonance imaging findings which are likely to be reversible. Guillain-Barré syndrome (GBS) is an acute demyelinating polyneuropathy presumably related to immunological mechanisms. Here, we describe a patient who had PRES in recovery phase of GBS while he was neither on any immunomodulator nor was having hypertension. He recovered completely clinically as well as radiologically.

摘要

后部可逆性脑病综合征(PRES)是一种临床和影像学综合征,患者表现出神经症状,包括头痛、癫痫发作、意识改变和视力丧失,并伴有可能可逆的特征性磁共振成像表现。吉兰-巴雷综合征(GBS)是一种可能与免疫机制相关的急性脱髓鞘性多发性神经病。在此,我们描述一名在GBS恢复期出现PRES的患者,当时他既未使用任何免疫调节剂,也没有高血压。他在临床和影像学上均完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/7758787/c1e735cc54c5/IJABMR-10-286-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/7758787/aa5b6bff8924/IJABMR-10-286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/7758787/c1e735cc54c5/IJABMR-10-286-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/7758787/aa5b6bff8924/IJABMR-10-286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219e/7758787/c1e735cc54c5/IJABMR-10-286-g002.jpg

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本文引用的文献

1
Posterior reversible encephalopathy syndrome: clinical and radiological manifestations, pathophysiology, and outstanding questions.后部可逆性脑病综合征:临床和影像学表现、病理生理学及待解决的问题。
Lancet Neurol. 2015 Sep;14(9):914-925. doi: 10.1016/S1474-4422(15)00111-8. Epub 2015 Jul 13.
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The posterior reversible encephalopathy syndrome: what's certain, what's new?后部可逆性脑病综合征:确定的是什么,新的是什么?
Pract Neurol. 2011 Jun;11(3):136-44. doi: 10.1136/practneurol-2011-000010.
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Development of chronic epilepsy after recurrent episodes of posterior reversible encephalopathy syndrome associated with periodic lateralized epileptiform discharges.
反复后部可逆性脑病综合征发作伴周期性偏侧性癫痫样放电后慢性癫痫的发展。
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Childhood posterior reversible encephalopathy syndrome.儿童后部可逆性脑病综合征。
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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。
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Evaluation of nine children with reversible posterior encephalopathy syndrome.对九名可逆性后部脑病综合征患儿的评估。
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Posterior reversible encephalopathy syndrome associated with IVIG in a patient with Guillain-Barré syndrome.吉兰-巴雷综合征患者中与静脉注射免疫球蛋白相关的后部可逆性脑病综合征
Pediatr Neurol. 2008 Aug;39(2):123-5. doi: 10.1016/j.pediatrneurol.2008.04.005.
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Posterior reversible encephalopathy syndrome in the pediatric renal population.儿科肾脏疾病患者中的后部可逆性脑病综合征
Pediatr Nephrol. 2007 Nov;22(11):1921-9. doi: 10.1007/s00467-007-0578-z. Epub 2007 Aug 11.
9
Posterior reversible encephalopathy and Guillain-Barré syndrome in a single patient: coincidence or causative relation?一例患者同时出现后部可逆性脑病和吉兰-巴雷综合征:巧合还是因果关系?
Clin Neurol Neurosurg. 2007 Jan;109(1):58-62. doi: 10.1016/j.clineuro.2006.01.004. Epub 2006 Feb 17.
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Neuroimaging in posterior reversible encephalopathy syndrome.后可逆性脑病综合征的神经影像学表现
J Neuroimaging. 2004 Apr;14(2):89-96.