Department of General Internal Medicine, Akashi Medical Center, Hyogo, Japan.
Department of General Internal Medicine, Akashi Medical Center, Hyogo, Japan.
Am J Emerg Med. 2021 Nov;49:438.e5-438.e6. doi: 10.1016/j.ajem.2021.04.051. Epub 2021 Apr 21.
Hyperosmolar hyperglycemic syndrome is a life-threatening diabetic emergency that manifests as altered mental status. An otherwise healthy 40-year-old man presented to our emergency department with headache and severe hypertension. Brain magnetic resonance imaging showed evidence of posterior reversible encephalopathy syndrome, a usually reversible neurological syndrome characterized by subcortical vasogenic oedema. This first reported case details posterior reversible encephalopathy syndrome concurrent with hyperosmolar hyperglycemic syndrome. Prompt diagnosis and management were essential to avoid non-reversible consequences.
高渗高血糖综合征是一种危及生命的糖尿病急症，表现为精神状态改变。一位原本健康的 40 岁男性因头痛和严重高血压到我院急诊科就诊。脑部磁共振成像显示存在后部可逆性脑病综合征的证据，这是一种通常可逆转的神经系统综合征，其特征为皮质下血管源性水肿。本报告首例病例详细描述了后部可逆性脑病综合征与高渗高血糖综合征同时发生。及时诊断和治疗对于避免不可逆转的后果至关重要。
