Department of Emergency, Chengdu Fifth Peoples' Hospital, Chengdu, China.
Department of Intensive Care Unit, Chengdu Fifth Peoples' Hospital, Chengdu, China.
J Med Case Rep. 2024 Oct 25;18(1):503. doi: 10.1186/s13256-024-04811-w.
Posterior reversible encephalopathy syndrome is a rare neurological syndrome that refers to reversible subcortical vasogenic brain edema disorder in patients with acute neurological symptoms.
Whether there is a direct causal relationship between pancreatitis and posterior reversible encephalopathy syndrome needs further study. We here report a 39-year-old Chinese woman who was diagnosed with pancreatitis followed by vision disturbance. The patient was finally diagnosed with posterior reversible encephalopathy syndrome. On the basis of this rare case, we analyzed the causes of visual disturbance and proposed diagnostic ideas.
For posterior reversible encephalopathy syndrome, early identification and treatment of the primary disease are particularly important. Imaging and clinical characteristics in posterior reversible encephalopathy syndrome are usually reversible.
后部可逆性脑病综合征是一种罕见的神经系统综合征，是指伴有急性神经系统症状的患者出现可逆性皮质下血管源性脑水肿障碍。
胰腺炎与后部可逆性脑病综合征之间是否存在直接因果关系尚需进一步研究。我们在此报告一例 39 岁的中国女性，该患者被诊断为胰腺炎后出现视力障碍。最终该患者被诊断为后部可逆性脑病综合征。基于这一罕见病例，我们分析了视力障碍的病因并提出了诊断思路。
对于后部可逆性脑病综合征，早期识别和治疗基础疾病尤为重要。后部可逆性脑病综合征的影像学和临床特征通常是可逆的。
