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首页> 外文期刊>International Journal of Pediatrics >Posterior Reversible Encephalopathy Syndrome Induced by an Acute Postinfectious Glomerulonephritis
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Posterior Reversible Encephalopathy Syndrome Induced by an Acute Postinfectious Glomerulonephritis

机译:由急性后肺炎肾小球肾炎引起的后逆转脑病综合征

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摘要

Posterior reversible encephalopathy (PRES) is a rare but a serious disease that affects the central nervous system. PRES is responsible for various but nonspecific neurological symptoms, including confusion, coma, and seizures as well as visual disturbances. Diagnosis is made using cerebral MRI which typically shows at the early stage, bilateral symmetrical parietooccipital hyperintensities on T2 and fluid-attenuated inversion recovery (FLAIR) sequences. Case study . In this article, we base our research on a case study that includes, as a population sample, a 9-year-old boy who suffers from an acute postinfectious glomerulonephritis and arterial hypertension. Two days before diagnosis, he developed confusion with generalized tonic-clonic attacks. His blood pressure was 180/80?mmHg. A cerebral computed tomography made in emergency showed cerebral edema. It was supplemented by magnetic resonance imaging which revealed cortical and posterior cortical lesions which appear as hypointense on T1 and hyperintense on T2 and Flair. An MRI control was performed 40 days later which shows a clear improvement of the occipital lesions. PRES is a radioclinical syndrome characterized by the association of variable neurological signs which reversibility is conditioned by the early diagnosis and the correction of the contributing factors.
机译:后可逆脑病(PRES)是一种罕见的,而是一种影响中枢神经系统的一种严重的疾病。 PRES负责各种非特异性,但神经系统症状,包括意识模糊,昏迷,癫痫发作以及视力障碍。诊断用脑MRI制成,其通常示出了在早期阶段,在T2和液体衰减反转恢复(FLAIR)序列双边对称的顶枕高信号。案例分析 。在这篇文章中,我们立足我们的研究案例研究,其中包括,作为一个人口样本,一个9岁的男孩谁是从一种急性感染后肾小球肾炎和高血压困扰。诊断前两天,他开发了全身强直 - 阵挛性发作的混乱。他的血压180/80是?毫米汞柱。脑计算机断层扫描在紧急情况做出显示脑水肿。它是由其中揭示皮质和皮质后病变,其表现为低信号在T1和高信号在T2和风情磁共振成像补充。 40d后进行的MRI控制这说明枕叶的病变明显改善。 PRES是radioclinical综合征的特点是它的可逆性由早期诊断和促成因素的校正调节的可变神经体征的关联。

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