Posterior Reversible Encephalopathy Syndrome with Extensive Deep White Matter Lesions Including the Temporal Pole
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- Ohira Junichiro
- Department of Neurology, Osaka Red Cross Hospital, Japan
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- Mori Nobuyuki
- Department of Radiology, Osaka Red Cross Hospital, Japan
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- Kajikawa Shunsuke
- Department of Neurology, Osaka Red Cross Hospital, Japan
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- Nakamura Takeshi
- Department of Neurology, Osaka Red Cross Hospital, Japan
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- Arisato Tetsuya
- Department of Nephrology, Osaka Red Cross Hospital, Japan
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- Takahashi Makio
- Department of Neurology, Osaka Red Cross Hospital, Japan
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抄録
<p>Posterior reversible encephalopathy syndrome (PRES) typically affects the posterior subcortical white matter. We report the case of a 55-year-old man with atypical PRES, who had malignant hypertension and renal dysfunction. Magnetic resonance imaging of the brain revealed extensive vasogenic edema in the deep white matter including the temporal pole, as well as in the brainstem and cerebellum. Antihypertensive therapy and hemodialysis contributed to both clinical and radiological improvement. Involvement of the deep white matter including the temporal pole, which is rarely affected in an ischemic stroke, should be recognized as a potential sign of PRES. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 55 (23), 3529-3533, 2016
一般社団法人 日本内科学会