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HELLP综合征合并可逆性后部白质脑病1例报告 被引量：2

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摘要 可逆性后部白质脑病（reversible posterior leukoencephalopathy syndrome,RPLS）,是一种临床影像疾病,其影像学特点为可逆性的大脑后部皮质和皮质下水肿,临床上可表现为头痛、恶心呕吐、癫痫、视觉异常和意识障碍等。溶血、血小板减少及肝酶异常（hemolysis,elevated liver enzymes and low platelets,HELLP）综合征是妊娠高血压疾病的严重并发症,
作者 肖卫军 张翠宏 刘洋成 孙晓培 张炳蔚
机构地区 新疆生产建设兵团第九师医院重症医学科 大连医科大学附属第一医院神经内科 大连医科大学附属第一医院妇产科
出处 《中风与神经疾病杂志》 CAS 北大核心 2016年第5期468-469,共2页 Journal of Apoplexy and Nervous Diseases
关键词 HELLP综合征 视觉异常 reversible 妊娠高血压 临床影像 影像学 内皮细胞 意识障碍 皮质下 左枕叶
分类号 R742 [医药卫生—神经病学与精神病学]
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参考文献12

  • 1Hinchey J,Chaves C,Appignani B,et al.A reversible posterior leukoencephalopathy syndrome[J].N Engl J Med,1996,334:494-500.
  • 2Kutlesi MS,Kutlesi RM,Koratevi GP.Posterior reversible encephalopathy syndrome in eclamptic patients:neuroradiological manifestation,pathogenesis and management[J].Med Pregl,2015,68:53-58.
  • 3蒲伟,余晖,方旭明,楚兰,牛尚甫,沈桂权.系统性红斑狼疮伴可逆性后部脑病综合征的临床和MRI特征[J].中华神经科杂志,2015,48(9):753-756. 被引量：6
  • 4Bartynski WS,Boardman JF.Distinct imaging patterns and lesion distribution in posterior reversible encephalopathy syndrome[J].Am J Neuroradiol,2007,28(7):1320-1327.
  • 5Mao M,Chen C.Corticosteroid therapy for management of hemolysis,elevated liver enzymes,and low platelet count(HELLP)syndrome:a meta-analysis[J].Med Sci Monit,2015,21:3777-3783.
  • 6Babahabib MA,Abdillahi I,Kassidi F,et al.Posterior reversible encephalopathy syndrome in patient of severe preeclampsia with Hellp syndrome immediate postpartum[J].Pan Afr Med J,2015,26(21):60.
  • 7Fugate JE,Rabinstein AA.Posterior reversible encephalopathy syndrome:clinical and radiological manifestations,pathophysiology,and outstanding questions[J].Lancet Neurol,2015,14(9):914-925.
  • 8Zhang Y,Zhou J,Chen Y.Posterior reversible encephalopathy syndrome in a child with steroid-resistant nephrotic syndrome:a case report and review of literature[J].Int J Clin Exp Pathol,2014,7(7):4433-4437.
  • 9Bartynski WS.Posterior reversible encephalopathy syndrome,part 2:controversies surrounding pathophysiology of vasogenic edema[J].AJNR Am J Neuroradiol,2008,29(6):1043-1049.
  • 10李庆华,李蜀渝,肖波.可逆性后部白质脑病综合征合并HELLP综合征的临床分析[J].国际神经病学神经外科学杂志,2014,41(3):238-241. 被引量：5

二级参考文献29

  • 1Weinstein L. Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy. Am J Obstet Gynecol, 1982, 142 (2) : 159-167.
  • 2Peng WX, Nakaii M, Matsushima T, et al. Atypical ease of reversible posterior leucoencephalopathy syndrome associated with puerperal HELLP syndrome. Arch Gyneeol Obstet, 2008, 278(3) : 269-271.
  • 3Vijayalakshmi B, Sethna F, Manford M, et al. Posterior re- versible encephalopathy syndrome in a patient with HELLP syndrome complicating a triploid pregnancy. J Matern Fetal Neonatal Med, 2010, 23 (8): 938-943.
  • 4Paul BS, Juneja SK, Paul G, et al. Spectrum of neurologi- cal complications in HELLP syndrome. Neurology India, 2013, 61(5): 467-471.
  • 5Schwarts RB, Feske SK, Polak JF, et al. Preeclampsiaeclamp- sia: clinical and neuroradiographie correlates and insights into the pathogenesis of hypertensive encephalopathy. Radiology, 2000, 217(2) : 371-376.
  • 6Jensen D, Duffin J, Lam YM, et al. Phy siolog ical mecha- nisms of hyperventilation dur ing human pregnancy. Respir Physiol Neuro biol, 2008 , 161 ( 1 ) : 76-86.
  • 7Barber CE, Leclerc R, Gladman DD, et ah Posterior reversible encephalopathy syndrome: an emerging disease manifestation in systemic lupus erythematosus [ J ]. Semin Arthritis Rheum, 2011, 41(3) : 353-363.
  • 8Liu B, Zhang X, Zhang FC, et al. Posterior reversible encephalopathy syndrome could be an underestimated variant of " reversible neurological deficits " in Systemic Lupus Erythematosus[ J]. BMC Neurol, 2012, 12:152.
  • 9Grewal HK, Saketkoo LA, Garcia-Valladares I, et ah Central nervous system involvement including visual loss in a patient with systemic lupus erythematosus with posterior reversible leukoencephalopathy syndrome[J]. J Clin Rheumatol, 2012, 18 (5) : 263-264.
  • 10Gatla N, Annapureddy N, Sequeira W, et al. Posterior reversible encephatopathy syndrome in systemic lupus erythematosus [ J ]. J Clin Rheumatol, 2013, 19(6) : 334-340.

共引文献9

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二级引证文献17

中风与神经疾病杂志
2016年 第5期

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