Teixeira Beatriz, Gonçalves Vera, Cardoso Ana Lúcia, Ribeiro Fernandes Sofia, Rocha Liliana, Garrido Cristina, Sarmento Alzira
Paediatric Department, Centro Materno Infantil do Norte, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Paediatric Department, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT.
Cureus. 2023 Dec 17;15(12):e50658. doi: 10.7759/cureus.50658. eCollection 2023 Dec.
Posterior reversible encephalopathy syndrome (PRES) is a reversible clinical-radiographic abnormality. It is characterized by headache, altered consciousness, seizures, and visual disruption, in addition to characteristic white matter edema lesions in the parieto-occipital areas of the brain. Early detection and treatment are crucial to prevent irreversible damage. This paper presents the cases of three patients with PRES with concurrent diagnoses of glomerulonephritis, Guillain-Barré syndrome, and sickle cell disease. All patients experienced systemic hypertension, seizures, and altered consciousness. All patients were admitted to intensive care for decreased level of awareness or requiring invasive mechanical ventilation. Anticonvulsants and antihypertensive therapy were essential. No chronic complications were recorded.
后部可逆性脑病综合征（PRES）是一种可逆的临床影像学异常。其特征除了脑部顶枕区有特征性的白质水肿病变外，还包括头痛、意识改变、癫痫发作和视觉障碍。早期发现和治疗对于预防不可逆损伤至关重要。本文介绍了3例同时诊断为肾小球肾炎、吉兰-巴雷综合征和镰状细胞病的PRES患者的病例。所有患者均出现全身性高血压、癫痫发作和意识改变。所有患者因意识水平下降或需要有创机械通气而入住重症监护病房。抗惊厥药和抗高血压治疗至关重要。未记录到慢性并发症。
