产后可逆性胼胝体压部病变综合征(附1例报告及文献复习)

Reversible Splenium Lesion Syndrome in Postpartum(A Case Report and Literature Review)

目的提高对可逆性胼胝体压部病变综合征的认识。方法报告1例产后以精神症状为主要临床表现的可逆性胼胝体压部病变综合征患者的临床表现及治疗情况,结合文献复习予以分析讨论。结果患者为青年女性,急性起病,主要表现为发热、精神行为异常。磁共振成像(MRI)检查提示胼胝体压部信号异常,经治疗后MRI检查结果正常,精神症状明显好转。结论产后发生可逆性胼胝体压部病变综合征临床少见,患者出现突发的神经系统症状时除外多发病和常见病,应考虑可逆性胼胝体压部病变综合征等少见病的可能。

Aim To improve the knowledge of reversible splenium lesion syndrome syndrome.Methods The clinical manifestations and treatment of a case of reversible splenium lesion syndrome In a postpartum woman with mental symptoms was reported.Related literature was reviewed and discussed.Results The patient was a young female presenting with acute onset of fever and abnormal mental behavior.Magnetic resonance Imaging(MRI)examination suggested abnormal signals in the splenium of the corpus callosum.After the treatment the MRI examination were normal,and mental symptoms were significantly improved.Conclusion The post-partum reversible splenium lesion syndrome is relatively rare,in addition to the thought of frequent and common diseases when patients had sudden neurological symptoms,the possibility of rare diseases such as reversible splenium lesion syndrome should be considered.