后可逆性脑病综合征的临床放射学特征研究：来自印度北部的经验
Study of Clinicoradiological Profile in Posterior Reversible Encephalopathy Syndrome: An Experience from North India.
作者信息
Goyal Gourav, Jeswani Jitesh
机构信息
Department of Neurology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.
Department of Nephrology, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.
出版信息
Indian J Crit Care Med. 2022 Summer;26(4):501-505. doi: 10.5005/jp-journals-10071-24172.
BACKGROUND
Posterior reversible encephalopathy syndrome (PRES) is a reversible condition. The Main pathological feature is vasogenic cerebral edema with predominant involvement of posterior part of the cerebrum. Clinical symptoms range from headache, seizure, and vision loss. We evaluated the clinicoradiological features of patients with PRES and their clinical outcome.
MATERIALS AND METHODS
A retrospective study with 30 cases from January 2014 to May 2017.
RESULTS
Of thirty patients, 18 were females and twelve patients were male. The Mean age of the patients was 38.6 years. The most common presentation was seizure (66.6%) followed by altered mental status (53.3%) and headache (40%). The Main comorbid illnesses in our study were renal disease (36.7%), hypertension (23.3%), eclampsia, and postpartum sepsis (26.7%). The Most common site was the occipito-parietal region in the magnetic resonance imaging brain (66%). Atypical presentation involved the temporal lobe (16%), basal ganglia (6%), and microhemorrhage (6%). The Outcome was good with 20% mortalities.
CONCLUSION
PRES is a reversible condition and has a good outcome in most patients. In our study, seizure was the most common presentation and renal disease is the most common comorbid illness.
HOW TO CITE THIS ARTICLE
Goyal G, Jeswani J. Study of Clinicoradiological Profile in Posterior Reversible Encephalopathy Syndrome: An Experience from North India. Indian J Crit Care Med 2022;26(4):501-505.
背景
后部可逆性脑病综合征（PRES）是一种可逆性疾病。主要病理特征是血管源性脑水肿，主要累及大脑后部。临床症状包括头痛、癫痫发作和视力丧失。我们评估了PRES患者的临床放射学特征及其临床结局。
材料与方法
一项回顾性研究，纳入了2014年1月至2017年5月期间的30例患者。
结果
30例患者中，18例为女性，12例为男性。患者的平均年龄为38.6岁。最常见的表现是癫痫发作（66.6%），其次是精神状态改变（53.3%）和头痛（40%）。我们研究中的主要合并疾病是肾脏疾病（36.7%）、高血压（23.3%）、子痫和产后败血症（26.7%）。磁共振成像脑部最常见的部位是枕顶叶区域（66%）。非典型表现累及颞叶（16%）、基底节（6%）和微出血（6%）。结局良好，死亡率为20%。
结论
PRES是一种可逆性疾病，大多数患者预后良好。在我们的研究中，癫痫发作是最常见的表现，肾脏疾病是最常见的合并疾病。
如何引用本文
Goyal G, Jeswani J. Study of Clinicoradiological Profile in Posterior Reversible Encephalopathy Syndrome: An Experience from North India. Indian J Crit Care Med 2022;26(4):501-505.
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