Yıl: 2009 Cilt: 26 Sayı: 1 Sayfa Aralığı: 83 - 86 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction

Öz:
Geri dönüşümlü posterior lökoensefalopati sendromu (GPLS) baş ağrısı, mental fonksiyon bozukluğu, nöbet, görme kaybı ve esas olarak posterior beyaz madde değişiklikleri ile karakterize klinik ve radiolojik bir tablodur. Altta yatan neden erken dönemde tedavi edilebilirse nörolojik sekel kalmadan tam bir düzelme sağlanabilir ki bu nedenle de erken tanı hayati önem taşır. Biz, akut renal yetmezlik ve hipertansiyon sonucu GPLS gelişen ağır nörolojik tablonun eşlik ettiği bir hasta sunduk. Klinik bulgular ve radiolojik anomaliler kan basıncının kontrol altına alınması ile tamamen düzeldi. Bu vaka ile GPLS için erken tanı ve etkili tedavinin önemini vurgulamak istedik.
Anahtar Kelime:

Konular: Nörolojik Bilimler

Ağır nörolojik tablonun eşlik ettiği geri dönüşümlü posterior lökoensefalopati sendromu : Olgu sunumu

Öz:
Reversible posterior leukoencephalopathy syndrome (RPLS) is a distinctive clinicoradiologic entity characterized by headache, altered mental function, seizures, loss of vision and predominantly posterior white matter changes on neuroimaging. Because of the reversibility of the signs without neurological sequel can be possible, if the underlying cause is solved promptly, the early diagnosis has crucial importance. We describe a patient with severe neurological dysfunction who developed RPLS secondary to acute renal failure and hypertension. The clinical findings and radiological abnormalities resolved completely with controlling of the blood pressure. With this case study, we anticipate in illustrating RPLS with an emphasis on the importance of the early diagnosis and appropriate treatment.
Anahtar Kelime:

Konular: Nörolojik Bilimler
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1) Covarrubias DJ, Luetmer PH, Campeau NG. Posterior reversible encephalopathy syndrome: Prognostic utility of quantitative diffusion-weighted MR images. AJNR Am J Neuroradiol 2002; 23:1038-1048.
  • 2) Hinchey J, Chaves C, Appignani B, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996; 334:494-500.
  • 3) Lamy C, Oppenheim C, Meder JF, et al. Neuroimaging in posterior reversible encephalopathy syndrome. J Neuroimaging 2004; 14:89-96.
  • 4) Schaefer PW, Buonanno FS, Gonzales RG, et al. Diffusion-weighted imaging discriminates between cytotoxic and vasogenic edema in a patient with eclampsia. Stroke 1997; 28:1082-1085.
  • 5) Schwartz RB, Mulkern RV, Gudbjartsson H, Jolesz F. Diffusion-weighted MR imaging in hypertensive encephalopathy: clues to pathogenesis. AJNR Am J Neuroradiol. 1998; 19: 859-62.
APA OYTUN BAYRAK A, KARBEK BAYRAKTAR B, CENGİZ K, İNCESU L, ÖZTAŞ G, CENGİZ N (2009). A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. , 83 - 86.
Chicago OYTUN BAYRAK Ayşe,KARBEK BAYRAKTAR BAŞAK,CENGİZ Kuddusi,İNCESU Lütfü,ÖZTAŞ Gürkan,CENGİZ Nilgün A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. (2009): 83 - 86.
MLA OYTUN BAYRAK Ayşe,KARBEK BAYRAKTAR BAŞAK,CENGİZ Kuddusi,İNCESU Lütfü,ÖZTAŞ Gürkan,CENGİZ Nilgün A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. , 2009, ss.83 - 86.
AMA OYTUN BAYRAK A,KARBEK BAYRAKTAR B,CENGİZ K,İNCESU L,ÖZTAŞ G,CENGİZ N A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. . 2009; 83 - 86.
Vancouver OYTUN BAYRAK A,KARBEK BAYRAKTAR B,CENGİZ K,İNCESU L,ÖZTAŞ G,CENGİZ N A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. . 2009; 83 - 86.
IEEE OYTUN BAYRAK A,KARBEK BAYRAKTAR B,CENGİZ K,İNCESU L,ÖZTAŞ G,CENGİZ N "A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction." , ss.83 - 86, 2009.
ISNAD OYTUN BAYRAK, Ayşe vd. "A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction". (2009), 83-86.
APA OYTUN BAYRAK A, KARBEK BAYRAKTAR B, CENGİZ K, İNCESU L, ÖZTAŞ G, CENGİZ N (2009). A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. Journal of Neurological Sciences (Turkish), 26(1), 83 - 86.
Chicago OYTUN BAYRAK Ayşe,KARBEK BAYRAKTAR BAŞAK,CENGİZ Kuddusi,İNCESU Lütfü,ÖZTAŞ Gürkan,CENGİZ Nilgün A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. Journal of Neurological Sciences (Turkish) 26, no.1 (2009): 83 - 86.
MLA OYTUN BAYRAK Ayşe,KARBEK BAYRAKTAR BAŞAK,CENGİZ Kuddusi,İNCESU Lütfü,ÖZTAŞ Gürkan,CENGİZ Nilgün A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. Journal of Neurological Sciences (Turkish), vol.26, no.1, 2009, ss.83 - 86.
AMA OYTUN BAYRAK A,KARBEK BAYRAKTAR B,CENGİZ K,İNCESU L,ÖZTAŞ G,CENGİZ N A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. Journal of Neurological Sciences (Turkish). 2009; 26(1): 83 - 86.
Vancouver OYTUN BAYRAK A,KARBEK BAYRAKTAR B,CENGİZ K,İNCESU L,ÖZTAŞ G,CENGİZ N A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction. Journal of Neurological Sciences (Turkish). 2009; 26(1): 83 - 86.
IEEE OYTUN BAYRAK A,KARBEK BAYRAKTAR B,CENGİZ K,İNCESU L,ÖZTAŞ G,CENGİZ N "A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction." Journal of Neurological Sciences (Turkish), 26, ss.83 - 86, 2009.
ISNAD OYTUN BAYRAK, Ayşe vd. "A case report of reversible posterior leukoencephalopathy syndrome associated with severe neurologic dysfunction". Journal of Neurological Sciences (Turkish) 26/1 (2009), 83-86.