조절되지 않는 신증후군 환아에서 대뇌 출혈 및 확산 강조 영상에서의 제한을 동반한 후두부 가역적 뇌병증 증후군 1예

• 영문명: Posterior Reversible Encephalopathy Syndrome Accompanied by a Cerebral Hemorrhage and Restricted Diffusion in a Child with Uncontrolled Nephrotic Syndrome
• 발행기관: 대한소아신경학회
• 저자명: 정승미(Seung Mi Jung) 최성은(Seong Eun Choi) 김혜정(Hye Jeong Kim) 안요한(Yo Han Ahn) 이건희(Kon Hee Lee)
• 간행물 정보: 『Annals of Child Neurology(구 대한소아신경학회지)』대한소아신경학회지 제25권 제3호, 174~178쪽, 전체 5쪽
• 주제분류: 의약학 > 소아과학
• 파일형태: PDF
• 발행일자: 2017.07.30

영문 초록

Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-radiological syndrome that is characterized by an acute onset of headache, vomiting, visual abnormalities, confusion, and/or seizures and is typically accompanied with edema of predominantly posterior portions of the cerebral hemispheres. Here, we report a case of PRES with cerebral hemorrhage that occurred in a female pediatric patient with uncontrolled nephrotic syndrome. The patient s magnetic resonance imaging (MRI) studies showed asymmetric white matter abnormalities, cerebral hemorrhage, and restricted diffusion. After controlling her hypertension and nephrotic syndrome, her neurologic symptoms improved, and follow-up MRI findings revealed interval resolving of the white matter lesions.

키워드

Posterior reversible encephalopathy syndrome Nephrotic syndrome Cerebral hemorrhage Diffusion magnetic resonance imaging