書誌事項
- タイトル別名
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- A Case of Reversible Posterior Leukoencephalopathy Syndrome of Sudden One Week after Childbirth
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Recently, a reversible syndrome characterized by occipital dominant cortical and subcortical abnormal lesions seen on magnetic resonance images (MRI) was described as reversible posterior leukoencephalopathy syndrome (RPLS). We report a case of postpartum reversible posterior leukoencephalopathy syndrome without toxemia of pregnancy. A 39-year-old female was admitted 1 week after delivery because of headache, nausea and the sudden onset of generalized convulsion. MRI showed abnormal lesions in both the occipitoparietal cortex and subcortical white matter. A diagnosis of RPLS was established. As antihypertensive therapy did not have a good effect on the patient's clinical course, steroid therapy was added and the patient improved remarkably with the exception of mild memory disturbance. The abnormal occipitoparietal lesions remained in both lobes as visualized on diffusion-weighted images even on the 33rd day after the attack. Because of the persistence of the lesions seen on MRI and the remaining clinical symptoms, the pathophysiological cause of RPLS was considered to be cytotoxic edema due to vasospasm in addition to vasogenic edema.
収録刊行物
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- 日本救急医学会雑誌
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日本救急医学会雑誌 15 (3), 113-118, 2004
一般社団法人 日本救急医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204369367936
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- NII論文ID
- 130003625963
- 10013290392
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- NII書誌ID
- AN10284604
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- ISSN
- 18833772
- 0915924X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可