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COVID-19 患者进展为后部可逆性脑病综合征的脑病:临床、影像学表现及随访。

Encephalopathy with progression to posterior reversible encephalopathy pattern in a patient with COVID-19: clinical, imaging findings and follow-up.

机构信息

Neuroscience Department, SCL Health, Neuroscience Department, Billings, Montana, USA

出版信息

BMJ Case Rep. 2021 Feb 23;14(2):e241240. doi: 10.1136/bcr-2020-241240.

Abstract

Neurological conditions are being more recognised in patients with COVID-19, with encephalopathy being the most prevalent problem. Posterior reversible encephalopathy is suspected to occur due to elevated blood pressure and overproduction of inflammatory markers, both of which have been reported in the setting of COVID-19 infection. Encephalopathy was the main presentation in this case, without respiratory dysfunction initially, and with imaging findings indicative of posterior reversible encephalopathy syndrome as an aetiology. Follow-up imaging showed resolution of the abnormal results with mental status returning to baseline upon discharge.

摘要

在 COVID-19 患者中,神经系统疾病越来越受到重视,其中脑病是最常见的问题。据报道,COVID-19 感染时,高血压和炎症标志物过度产生会导致推测的可逆性后部脑病。在这种情况下,脑病是主要表现,最初没有呼吸功能障碍,影像学检查结果提示可逆性后部脑病综合征是病因。随访影像学显示异常结果消退,精神状态在出院时恢复正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be7d/7903084/1350cfecf2a4/bcr-2020-241240f01.jpg

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