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肾病综合征致可逆性后部白质脑病综合征一例
Nephrotic Syndrome Induced Reversible Posterior Leukoencephalopathy Syndrome: A Case Report
【摘要】 本文主要分析1例可逆性后部白质脑病综合征(RPLS)患儿的临床表现、影像学特征、病因,探讨治疗及预后。该病主要表现为抽搐、视觉异常、意识障碍;影像学主要表现为磁共振扩散加权成像(DWI)上见双侧顶枕叶皮质及双侧丘脑高信号,核磁共振表观弥散系数(ADC)为低信号改变。本例患儿经内科治疗后症状好转。
【Abstract】 This paper will mainly analyse the clinical manifestation,imaging features and pathogenesis of reversible posterior leukoencephalopathy syndrome(RPLS) and will discuss its treatment and prognosis.The disease is mainly characterized by seizures,paropsis and disturbance of consciousness.High signal of bilateral parietal occipital cortex and bilateral thalamus were found by diffusion-weighted MR imaging(DWI).The change of low signal was seen in apparent diffusion coefficient(ADC) by magnetic resonance imaging.The symptoms of the case were improved after medical treatment.
【Key words】 Nephrotic syndrome; Posterior leukoencephalopathy syndrome; Case reports;
- 【文献出处】 中国全科医学 ,Chinese General Practice , 编辑部邮箱 ,2012年24期
- 【分类号】R726.9
- 【被引频次】2
- 【下载频次】86