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肾病综合征致可逆性后部白质脑病综合征一例 被引量：2

Nephrotic Syndrome Induced Reversible Posterior Leukoencephalopathy Syndrome: A Case Report
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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。 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.
作者 孙涛 樊忠民 夏正坤 高远赋 史卓 黄倩 任献国 张沛
机构地区 南京军区南京总医院儿科
出处 《中国全科医学》 CAS CSCD 北大核心 2012年第24期2836-2837,共2页 Chinese General Practice
关键词 肾病综合征 后部白质脑病综合征 病例报告 Nephrotic syndrome Posterior leukoencephalopathy syndrome Case reports
分类号 R692 [医药卫生—泌尿科学]
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参考文献5

  • 1Hinchey J,Chaves C,Appignani B,et al.A reversible posterior leukoencephalopathy syndrome[J].N Eng J Med,1996,334(8):494-500.
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二级参考文献12

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共引文献12

同被引文献43

  • 1Brubaker LM, Smith JK, Lee YZ, et al. Hemodynamie and permea- bility changes in posterior reversible encephalopathy syndrome measured by dynamic susceptibility perfusion - weighted MR imaging [ J ]. AJNR Am J Neuroradiol, 2005, 26 (4) : 825 -830.
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  • 10Lai TK, Wong TC, Wong WC, et al. A reversible cause of blindness that should not be forgotten : cyclosporine - induced posterior reversible encephalopathy syndrome [J]. Hong Kong Med J, 2009, 15 (2) : 153 - 154.

引证文献2

二级引证文献9

中国全科医学
2012年 第24期

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