子癇に続発したreversible posterior leukoencephalopathy syndromeの1例

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  • Reversible Posterior Leukoencephalopathy Syndrome in a Case of Antepartum Eclampsia without Pregnancy-induced Hypertension : A Case Report

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  We report a case of reversible posterior leukoencephalopathy syndrome (RPLS) in a patient with eclampsia without hypertension. Fluid-attenuated inversion recovery (FLAIR) and T2-weghted magnetic resonance images showed multiple hyperintense lesions not only in the posterior white matter and cortex but also in the basal ganglia. In cerebral angiography and magnetic resonance angiography, the images showed diffuse vasospasm of the anterior and middle cerebral arteries. We distinguished RPLS from venous sinus thrombosis by the magnetic resonance venography and the cerebral angiogram. The patient discharged without complications.

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